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Title: 自然破裂を契機に発見された透析患者両側腎細胞癌の1例
Other Titles: Bilateral Renal Cell Carcinoma of Dialysis Patient Manifesting as Spontaneous Renal Rupture
Authors: 後藤, 崇之  KAKEN_name
千菊, 敦士  KAKEN_name
澤田, 篤郎  KAKEN_name
柴崎, 昇  KAKEN_name
石戸, 谷哲  KAKEN_name
奥村, 和弘  KAKEN_name
Author's alias: Goto, Takayuki
Sengiku, Atsushi
Sawada, Atsurou
Shibasaki, Noboru
Ishitoya, Satoshi
Okumura, Kazuhiro
Keywords: Spontaneous rupture
Renal cell carcinoma
Issue Date: Nov-2009
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 55
Issue: 11
Start page: 707
End page: 710
Abstract: A 50-year-old male had been maintained on hemodialysis for 12 years because of chronic renal failure. The patient experienced sudden left flank pain. Computed tomography (CT) showed a huge left perirenal hematoma, which was diagnosed as a spontaneous rupture of the left kidney. CT also showed multiple cysts in both kidneys and a right renal tumor suspected to be renal cell carcinoma. Although the cause of the rupture was unknown, bilateral nephrectomy was performed. Histological study revealed acquired cystic disease of the kidney (ACDK) with bilateral renal cell carcinoma. Our diagnosis was rupture of the renal cell carcinoma. The patient was free of recurrence at 17 months postoperatively. To our knowledge, this case is the fifth report of renal cell carcinoma in ACDK manifesting as spontaneous rupture in the Japanese literature.
Rights: 許諾条件により本文は2010-12-01に公開
PubMed ID: 19946190
Appears in Collections:Vol.55 No.11

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