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タイトル: | 筋層非浸潤性膀胱癌の術後10年目に傍大動脈リンパ節転移を認めた1例 |
その他のタイトル: | A Case of Para-Aortic Lymph Node Metastasis 10 Years after Transurethral Resection for Non-Muscle Invasive Bladder Cancer |
著者: | 堀部, 祐輝 氏家, 剛 福原, 慎一郎 藤田, 和利 木内, 寛 植村, 元秀 今村, 亮一 野々村, 祝夫 |
著者名の別形: | HORIBE, Yuki UJIKE, Takeshi FUKUHARA, Shinichiro FUJITA, Kazutoshi KIUCHI, Hiroshi UEMURA, Motohide IMAMURA, Ryoichi NONOMURA, Norio |
キーワード: | Non-muscle invasive bladder cancer Distant metastasis Para-aortic lymph node |
発行日: | 31-Jul-2021 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 67 |
号: | 7 |
開始ページ: | 327 |
終了ページ: | 330 |
抄録: | A 67-year-old man with non-muscle invasive bladder cancer (NMIBC) underwent transurethral resection (TUR) in January 2008. The pathological diagnosis was urothelial carcinoma (UC), grade 2, pT1. A second TUR was performed 2 months later, and no evidence of malignancy was found. After surgery, he was followed up via cystoscopy and urine cytology for 9 years, with no recurrence of the bladder tumor. In November 2017, he visited our orthopedic department complaining of pain in his left leg. Magnetic resonance imaging revealed an enlarged para-aortic lymph node (a suspected metastasis). Computed tomography (CT) revealed several enlarged lymph nodes but no recurrence in the bladder. A CT-guided biopsy was performed, and histopathological examination revealed a metastasis of the urothelial carcinoma. After definitive diagnosis, he received four cycles of gemcitabine-cisplatin chemotherapy. NMIBC with no local progression rarely causes distant metastases, but the possibility is always there. |
著作権等: | 許諾条件により本文は2022-08-01に公開 |
DOI: | 10.14989/ActaUrolJap_67_7_327 |
URI: | http://hdl.handle.net/2433/264738 |
PubMed ID: | 34353015 |
出現コレクション: | Vol.67 No.7 |
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