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dc.contributor.author吉田, 健志ja
dc.contributor.author木下, 秀文ja
dc.contributor.author谷口, 久哲ja
dc.contributor.author地崎, 竜介ja
dc.contributor.author西田, 晃久ja
dc.contributor.author日浦, 義仁ja
dc.contributor.author大口, 尚基ja
dc.contributor.author河, 源ja
dc.contributor.author六車, 光英ja
dc.contributor.author松田, 公志ja
dc.contributor.author坂井田, 紀子ja
dc.contributor.author植村, 芳子ja
dc.contributor.alternativeYoshida, Kenjija
dc.contributor.alternativeKinoshita, Hidefumija
dc.contributor.alternativeTaniguti, Hisanorija
dc.contributor.alternativeChizaki, Ryusukeja
dc.contributor.alternativeNishida, Teruhisaja
dc.contributor.alternativeHiura, Yoshihitoja
dc.contributor.alternativeOoguti, Naokija
dc.contributor.alternativeKawa, Genja
dc.contributor.alternativeMuguruma, Koueija
dc.contributor.alternativeMatsuda, Tadashija
dc.contributor.alternativeSakaida, Norikoja
dc.contributor.alternativeUemura, Yoshikoja
dc.date.accessioned2009-04-03T09:35:05Z-
dc.date.available2009-04-03T09:35:05Z-
dc.date.issued2007-02ja
dc.identifier.issn0018-1994ja
dc.identifier.urihttp://hdl.handle.net/2433/71347-
dc.description.abstract65歳男。人間ドックで右腎の腫瘍を指摘された。腹部超音波で腎実質内に低エコーの充実性腫瘍を認め, 単純CTでは腎実質と等吸収域で, 造影CTでは平衡相でごくわずかに腫瘍辺縁が造影された。MRIではT1強調像でhypo-intensityを示し, ガドリニウム造影の後期相で軽度造影効果を認めた。T2強調像ではhyper-intensityであった。腎細胞癌の所見としては非典型的であったが, 乏血管性の腎腫瘍と考え, 後腹膜鏡下右腎摘除術を施行した。摘出標本で, 腫瘍は長径5cm, 偽被膜を伴い, 正常腎実質との境界は明瞭で, 腎盂内への浸潤はなかった。病理所見では好酸性胞体を有し管状発育を中心とした幅広い間質を認め, 類洞形成は認めなかった。免疫染色では遠位尿細管・集合管上皮細胞由来EMA, AE-1などの上皮膜抗原が陽性であった。最終的にベリニ管癌, G2(Fuhrman grading system), pT1bN0M0, v(-), ly(-)と診断した。術後36ヵ月経過し, 転移・再発はない。ja
dc.description.abstractWe report a case of Bellini duct carcinoma. A 65-year-old man visited our hospital because of an asymptomatic right renal mass directed by ultrasonography and computed tomography in an other hospital. His urine cytology was negative. The tumor showed a minimal enhancement in computed tomography. Under the preoperative diagnosis of an atypical right renal tumor, laparoscopic right radical nephrectomy was performed. The tumor is 50 mm in diameter and the surface was grayish-white in color. The histopathological diagnosis was low-grade Bellini duct carcinoma. Immunohistostaining revealed positive staining for UA-1 and EMA in the tumor tissue. No evidence of recurrence or metastasis was noted 36 months after surgery without any adjuvant therapy.ja
dc.format.mimetypeapplication/pdfja
dc.language.isojpnja
dc.publisher泌尿器科紀要刊行会ja
dc.subjectBellini duct carcinomaja
dc.subjectLow gradeja
dc.subject.ndc494.9ja
dc.titleLow grade, low stageであったベリニ管癌の1例ja
dc.title.alternativeBellini duct carcinoma of the kidney: a case reportja
dc.type.niitypeDepartmental Bulletin Paperja
dc.identifier.ncidAN00208315ja
dc.identifier.jtitle泌尿器科紀要ja
dc.identifier.volume53ja
dc.identifier.issue2ja
dc.identifier.spage121ja
dc.identifier.epage124ja
dc.textversionpublisherja
dc.sortkey08ja
dc.address関西医科大学附属枚方病院泌尿器科学教室ja
dc.identifier.pmid17352163ja
Appears in Collections:Vol.53 No.2

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