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タイトル: | 左腎細胞癌脾転移に対するスニチニブ投与後にガス産生性脾膿瘍を認めた1例 |
その他のタイトル: | Gas-Producing Splenic Abscess after Spleen Metastasis of Left Renal Cell Carcinoma Spleen Metastasis Successfully Treated with Sunitinib |
著者: | 國重, 玲紋 大関, 孝之 浜口, 守 豊田, 信吾 橋本, 士 菊池, 尭 西本, 光寿 清水, 信貴 森, 康範 南, 高文 野澤, 昌弘 能勢, 和宏 吉村, 一宏 植村, 天受 |
著者名の別形: | Kunishige, Remon Ozeki, Takayuki Hamaguchi, Mamoru Toyoda, Shingo Hashimoto, Mamoru Kikuchi, Takashi Nishimoto, Mitsuhisa Shimizu, Nobutaka Mori, Yasunori Minami, Takafumi Nozawa, Masahiro Nose, Kazuhiro Yoshimura, Kazuhiro Uemura, Hirotsugu |
キーワード: | Renal cell carcinoma spleen metastasis Gas-producing splenic abscess |
発行日: | 28-Feb-2021 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 67 |
号: | 2 |
開始ページ: | 63 |
終了ページ: | 66 |
抄録: | A 67-year-old man underwent open radical left nephrectomy for left renal cell carcinoma [pT4N0M1 (right lower lobe of lung)] and thoracoscopic partial right lung resection for lung metastasis. The patient subsequently developed a solitary lung metastasis at 10 months and then at 26 months postoperatively. He underwent partial lung resection on each occasion. During the 28 months postoperatively, he was found to have a 12 mm middle mediastinal lymph node metastasis and a 30 mm splenic metastasis, which gradually increased in size. Three months after discovery, sunitinib was initiated at 37.5 mg 2 weeks on/1 week off. Twelve days later, the patient presented with complaints of fever. A gas-producing splenic abscess was diagnosed and he was admitted on the same day. His condition improved with antibiotics and splenic drainage. On day 35 of hospitalization, he underwent laparoscopic splenectomy. The patient's postoperative clinical course was uneventful and he was discharged 7 days after the surgery. |
著作権等: | 許諾条件により本文は2022/03/01に公開 |
DOI: | 10.14989/ActaUrolJap_67_2_63 |
URI: | http://hdl.handle.net/2433/261865 |
PubMed ID: | 33657773 |
出現コレクション: | Vol.67 No.2 |
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