ダウンロード数: 710
このアイテムのファイル:
ファイル | 記述 | サイズ | フォーマット | |
---|---|---|---|---|
55_371.pdf | 323.71 kB | Adobe PDF | 見る/開く |
タイトル: | 上大静脈腫瘍塞栓から右心房内へ進展した晩期再発型進行精巣腫瘍の1例 |
その他のタイトル: | Tumor Thrombus Arising from the Superior Vena Cava and Extending into the Right Atrium in a Patient with Advanced Testicular Germ Cell Tumor |
著者: | 三宅, 牧人 藤本, 清秀 松下, 千枝 千原, 良友 田中, 雅博 平山, 暁秀 平尾, 佳彦 植村, 天受 |
著者名の別形: | Miyake, Makito Fujimoto, Kiyohide Matsushita, Chie Chihara, Yoshitomo Tanaka, Masahiro Hirayama, Akihide Hirao, Yoshihiko Uemura, Hirotsugu |
キーワード: | Testicular germ cell tumor Superior vena cava metastasis Intra-cardiac extension |
発行日: | Jun-2009 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 55 |
号: | 6 |
開始ページ: | 371 |
終了ページ: | 375 |
抄録: | A 24-year-old man was referred to our hospital with a painless mass on the left side of his neck. Ultrasonographydetected right testicular tumor and computerized tomographyscanning revealed a left supraclavicular lymph node mass and bulky retroperitoneal lymph node mass. He initially underwent right high orchiectomy, combination chemotherapy and retroperitoneal lymph node dissection for advanced testicular non-seminomatous germ cell tumor. Six years later, late relapse was detected in the lung. After complete remission of the lung metastasis with chemotherapy, the serum alpha-fetoprotein began to increase because of superior vena caval thrombus extending into the right atrium. Emergencysurgical excision was performed successfullyusing extracorporeal circulation to prevent pulmonaryembolism and the resected specimen pathologicallyrevealed adenocarcinoma interpreted as teratoma malignant transformation. Adjuvant chemotherapyconsisting of paclitaxel, ifosfamide and nedaplatin were administered for subsequent slight elevation of serum F-human chorionic gonadotropin β, resulting in successful normalization again. Later, he suddenlydied of cerebral infarction without anyevidence of recurrence 138 months after his initial presentation. We report herein an extremelyuncommon case of advanced testicular germ cell tumor with development of superior vena caval thrombus extending into the right atrium. |
著作権等: | 許諾条件により本文は2010-07-01に公開 |
URI: | http://hdl.handle.net/2433/79902 |
PubMed ID: | 19588874 |
出現コレクション: | Vol.55 No.6 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。