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タイトル: | 回腸代用尿管術後40年で代用尿管に先行出現したと考えられる右卵巣粘液性腺癌の1例 |
その他のタイトル: | A Case of Metastatic Mucinous Adenocarcinoma Derived from the Right Ovary to the Ileal Ureter |
著者: | 今井, 一登 坂元, 宏匡 中嶋, 正和 赤羽, 瑞穂 河合, 潤 青山, 輝義 |
著者名の別形: | Imai, Kazuto Sakamoto, Hiromasa Nakashima, Masakazu Akahane, Mizuho Kawai, Jun Aoyama, Teruyoshi |
キーワード: | Ileal ureter interposition Ovarian cancer Adenocarcinoma |
発行日: | 30-Sep-2019 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 65 |
号: | 9 |
開始ページ: | 369 |
終了ページ: | 375 |
抄録: | A 76-year-old woman presented with temporary right back pain and renal dysfunction. She had undergone ileal ureter interposition for right ureteral resection due to retroperitoneal liposarcoma about forty years ago. Abdominal computed tomographic (CT) scan showed right hydronephrosis and a stenosis in the middle of the ileal ureter. The symptoms were relieved, and the patient was followed. Six months later, however, a contrast enhanced lesion was newly observed at the stenosis of the ileal ureter, and nineteen months later, right ovarian tumor and peritoneal dissemination were subsequently observed. Aiming at diagnosis and cytoreduction, right nephroureterectomy and bilateral oophorectomy were performed. Histopathological findings of the resected tumors showed common characteristics of infiltrating and proliferating adenocarcinoma. Immunohistochemistry findings showed that Cytokeratin 7 and Cytokeratin 20 stained positive. On the other hand, Mucin 2 and Special AT-rich sequence-binding protein 2 were not found. The histopathological diagnosis was metastatic mucinous adenocarcinoma of the ovary with ileal ureter and a wide peritoneal dissemination. The patient rejected adjuvant chemotherapy and a new lesion was found in the pelvic fourmonths afterthe surgery. |
著作権等: | 許諾条件により本文は2020/10/01に公開 |
DOI: | 10.14989/ActaUrolJap_65_9_369 |
URI: | http://hdl.handle.net/2433/244683 |
PubMed ID: | 31697879 |
出現コレクション: | Vol.65 No.9 |
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