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タイトル: 直腸癌の前立腺浸潤との術前診断にて直腸前立腺全摘を施行した前立腺癌の1例
その他のタイトル: A Case of Rectum-Infiltrating Prostate Cancer Mimicking Prostate-Infiltrating Rectal Cancer
著者: 日紫喜, 公輔  KAKEN_name
高田, 秀明  KAKEN_name
仲島, 義治  KAKEN_name
公平, 直樹  KAKEN_name
西尾, 恭規  KAKEN_name
室, 博之  KAKEN_name
大端, 考  KAKEN_name
吉村, 耕治  KAKEN_name
著者名の別形: Hishiki, Kohsuke
Takada, Hideaki
Nakashima, Yoshiharu
Kohei, Naoki
Nishio, Yasunori
Muro, Hiroyuki
Ohata, Ko
Yoshimura, Koji
キーワード: Prostate cancer infiltrating the rectum
Winter classification
Miles surgery
Artificial urinary sphincter
発行日: 30-Sep-2018
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要 = Acta urologica Japonica
巻: 64
号: 9
開始ページ: 373
終了ページ: 377
抄録: A 71-year-old man was admitted to the department of general surgery at our hospital due to constipation. A large bowel endoscopic examination revealed a stenosis of the rectum near the anus. The pathological diagnosis of the biopsy was poorly differentiated adenocarcinoma. After a computed tomography/magnetic resonance imaging examination, rectal cancer infiltrating the prostate was the diagnosis. External beam radiation therapy and chemotherapy were performed. After those neoadjuvant therapies, an abdominoperineal resection of the rectum (Miles) and a retropubic radical prostatectomy were performed. The final pathological diagnosis was prostate cancer infiltrating the rectum. Prostate cancer infiltrating the rectum is rare because of the Denonvillier's fascia barrier. However, it is difficult to distinguish prostate cancer infiltrating the rectum from rectal cancer infiltrating the prostate. Thus, when we see rectal cancer infiltrating the prostate, prostate cancer infiltrating the rectum should be suspected, serum prostate specific antigen (PSA) level should be determined, and PSA immunostaining should be performed.
著作権等: 許諾条件により本文は2019/10/01に公開
DOI: 10.14989/ActaUrolJap_64_9_373
URI: http://hdl.handle.net/2433/234836
PubMed ID: 30369229
出現コレクション:Vol.64 No.9

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