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タイトル: | 超音波内視鏡ガイド下穿刺吸引法により診断し得た, セミノーマ後腹膜リンパ節晩期再発の1例 |
その他のタイトル: | Late Recurrence of Seminoma Diagnosed by Endoscopic Ultrasound-Guided Fine Needle Aspiration in a Retroperitoneal Lymph Node |
著者: | 谷, 優 中田, 渡 山道, 岳 辻村, 剛 平尾, 元宏 辻本, 裕一 任, 幹夫 平松, 直樹 辻畑, 正雄 |
著者名の別形: | Tani, Masaru Nakata, Wataru Yamamichi, Gaku Tsujimura, Go Hirao, Motohiro Tsujimoto, Yuichi Nin, Mikio Hiramatsu, Naoki Tsujihata, Masao |
キーワード: | EUS-FNA Late recurrence of seminoma |
発行日: | 29-Feb-2020 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 66 |
号: | 2 |
開始ページ: | 53 |
終了ページ: | 57 |
抄録: | The patient was a 43-year-old man. At 30 years of age, he underwent high-inguinal orchiectomy for a right testicular tumor and was diagnosed with seminoma pT1N0M0. The patient had been followed without additional treatment and had dropped out 7 years after surgery. At 43 years of age, abdominal ultrasonography performed for screening revealed a swollen 4 cm-wide intra-abdominal lymph node, and he was referred to our department. Abdominal contrast-enhanced computed tomography (CT) showed a mass with a 5 cm-wide contrast effect that contacted the anterior surface of the inferior vena cava from the duodenum to the aortic bifurcation. Histological examination by trans-duodenal ultrasound-guided fineneedle aspiration suggested late recurrence of seminoma. After receiving three courses of BEP (bleomycin, etoposide, and platinum) therapy, the patient underwent laparoscopic lymphadenectomy. Pathological examination showed no residual tumor, and the patient was free of recurrence at 13 months after surgery. |
著作権等: | 許諾条件により本文は2021/03/01に公開 |
DOI: | 10.14989/ActaUrolJap_66_2_53 |
URI: | http://hdl.handle.net/2433/246178 |
PubMed ID: | 32160734 |
出現コレクション: | Vol.66 No.2 |
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