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タイトル: 転移巣に対する放射線照射による尿管動脈瘻予防目的にステントグラフト内挿術を施行した膀胱癌の1例
その他のタイトル: A Case of Bladder Cancer Treated with Arterial Stent-Grafting to Prevent Uretero-Arterial Fistula Due to Radiation Therapy for Metastasis
著者: 杉山, 恭平  KAKEN_name
今村, 正明  KAKEN_name
藤本, 健尊  KAKEN_name
千原, 尉智蕗  KAKEN_name
室, 悠介  KAKEN_name
公平, 直樹  KAKEN_name
吉村, 耕治  KAKEN_name
著者名の別形: Sugiyama, Kyohei
Imamura, Masaaki
Fujimoto, Takeru
Chihara, Ichiro
Muro, Yusuke
Kohei, Naoki
Yoshimura, Koji
キーワード: Bladder cancer
Uretero-arterial fistula
Stent-grafting
Radiotherapy
発行日: 30-Sep-2020
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 66
号: 9
開始ページ: 319
終了ページ: 321
抄録: A 66-year-old male with bladder cancer underwent radical cystectomy and ileal conduit construction. The pathological diagnosis was urothelial carcinoma with squamous differentiation (pT3b). Computed tomography (CT) 18 months postoperatively revealed a right external iliac lymph node metastasis. He was treated with systemic chemotherapy after placement of bilateral ureteral stents, but CT following chemotherapy revealed an increase in the size of the metastasis, and the patient was diagnosed with progressive disease. Radiotherapy to the metastasis was selected as local therapy, but the patient was at risk of an uretero-arterial fistula because the right external iliac artery and the right ureter adjacent to the metastasis were involved in the irradiated field. The right external iliac lymph node metastasis was irradiated with a dose of 50 Gy after stent grafting for the right external iliac artery to prevent an ureteroarterial fistula. He had no adverse events, including hematuria after radiotherapy, but died of cancer cachexia 12 months after radiotherapy.
著作権等: 許諾条件により本文は2021/10/01に公開
DOI: 10.14989/ActaUrolJap_66_9_319
URI: http://hdl.handle.net/2433/255215
PubMed ID: 32988170
出現コレクション:Vol.66 No.9

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