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タイトル: | 後天性血友病と類白血病反応を伴った腎盂癌の1例 |
その他のタイトル: | A Case of Renal Pelvic Cancer with Acquired Hemophilia and Leukemoid Reaction |
著者: | 五十嵐, 大樹 大森, 聡 泉田, 亘 中村, 泰行 阿部, 正和 氏家, 隆 小原, 航 |
著者名の別形: | Ikarashi, Daiki Omori, So Izumida, Wataru Nakamura, Yasuyuki Abe, Masakazu Ujiie, Takashi Obara, Wataru |
キーワード: | Renal pelvic cancer Acquired hemophilia Leukemoid reaction |
発行日: | 30-Apr-2018 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 64 |
号: | 4 |
開始ページ: | 151 |
終了ページ: | 155 |
抄録: | A 71-year-old man was referred to us with a right renal mass that was discovered by computed tomography (CT) examination for acquired hemophilia and leukemoid reaction. He presented with persistent low-grade fever and purpura on the lower legs caused by acquired hemophilia. Contrastenhanced CT scan showed a right renal tumor 6.0×7.4 cm in diameterwith inhomogeneous enhancement. The result of his urine cytology was negative. After improvement of his coagulation by treatment with immunosuppressants and steroids, he underwent open nephrectomy. Histology of renal tissue revealed urothelial carcinoma (G3, pT4, N1). After surgery, his complete blood counts and coagulation improved without administration of immunosuppressants and steroids. Therefore, he was diagnosed with renal pelvic cancer with acquired hemophilia and leukemoid reaction. |
著作権等: | 許諾条件により本文は2019/05/01に公開 |
DOI: | 10.14989/ActaUrolJap_64_4_151 |
URI: | http://hdl.handle.net/2433/231181 |
PubMed ID: | 29772615 |
出現コレクション: | Vol.64 No.4 |
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