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タイトル: | 腹腔鏡下腎尿管摘除術後にトロカーポート部再発が疑われた尿管腫瘍の1例 |
その他のタイトル: | Port-Site Metastasis of an Upper Urinary Tract Urothelial Carcinoma after Laparoscopic Nephroureterectomy : A Case Report |
著者: | 安田, 鐘樹 河, 源 木下, 秀文 松田, 公志 |
著者名の別形: | Yasuda, Kaneki Kawa, Gen Kinoshita, Hidefumi Matsuda, Tadashi |
キーワード: | Port-site metastasis Urothelial carcinoma Laparoscopic surgery |
発行日: | Mar-2009 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 55 |
号: | 3 |
開始ページ: | 141 |
終了ページ: | 144 |
抄録: | We report here a case of ureteral cancer in which port-site metastasis was suspected after a nephroureterectomy. The patient was a male in his fifties with a chief complaint of asymptomatic gross hematuria. A tumor was found in his left renal pelvis and ureter by a computed tomographic (CT) scan. The patient was diagnosed with a left upper urinary tract cancer with a clinical stage of T2N0M0. A left laparoscopic nephroureterectomy was performed through a retroperitoneal approach. Lymph node dissection was performed with an ultrasonic surgical knife. The pathological diagnosis was an urothelial carcinoma, grade 2>3, INF β , pT3, pV1, pN2. He received two courses of MVAC chemotherapy (methotrexate 50 mg, vinblastine 5 mg, adriamycin 50 mg, cisplatin 120 mg) postoperatively. Since retroperitoneal lymph node metastasis was observed three months later on a CT scan, the MVAC chemotherapy was repeated for three courses. Nine months later, a tumor was found in the hypodermic beside the port-site, and a needle biopsy confirmed a metastatic urothelial carcinoma. He received two courses of GP chemotherapy (gemcitabine 4, 250 mg, paclitaxel 225 mg). He died of multiple metastases five months later. |
著作権等: | 許諾条件により本文は2010-04-01に公開 |
URI: | http://hdl.handle.net/2433/72797 |
PubMed ID: | 19378825 |
出現コレクション: | Vol.55 No.3 |
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