Report
左腎盂・尿管に発生し急速に進行した肉腫様型尿路上皮癌の1例 ; A Case of Rapidly Growing Sarcomatoid Urothelial Carcinoma of the Renal Pelvis and Ureter
| العنوان: | 左腎盂・尿管に発生し急速に進行した肉腫様型尿路上皮癌の1例 ; A Case of Rapidly Growing Sarcomatoid Urothelial Carcinoma of the Renal Pelvis and Ureter |
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| المؤلفون: | 星山, 英泰, 川西, 博晃, 高橋, 雄大, 高森, 一, 高島, 靖, 河野, 有香, 奥村, 和弘, 藤田, 久美, 住吉, 真治 |
| المساهمون: | HOSHIYAMA, Akihiro, KAWANISHI, Hiroaki, TAKAHASHI, Takehiro, TAKAMORI, Hajime, TAKASHIMA, Yasushi, KONO, Yuka, OKUMURA, Kazuhiro, FUJITA, Kumi, SUMIYOSHI, Shinji, ホシヤマ, アキヒロ, カワニシ, ヒロアキ, タカハシ, タケヒロ, タカモリ, ハジメ, タカシマ, ヤスシ, コウノ, ユカ, オクムラ, カズヒロ, フジタ, クミ, スミヨシ, シンジ |
| بيانات النشر: | 泌尿器科紀要刊行会 |
| سنة النشر: | 2021 |
| المجموعة: | Kyoto University Research Information Repository (KURENAI) / 京都大学学術情報リポジトリ |
| مصطلحات موضوعية: | Sarcomatoid urothelial carcinoma, Renal pelvic tumor, Ureteral tumor, 494.9 |
| الوصف: | 75 year-old man followed up regularly for the treatment of lung cancer came to our hospital with a chief complaint of general malaise. Blood test results showed deterioration in the renal function, and computed tomography (CT) confirmed left hydronephrosis. He was admitted to the hospital with the diagnosis of obstructive pyelonephritis. Despite antibiotic therapy after the left ureteral stent placement, CT on day 19 of hospitalization showed an enlarged soft tissue shadow along the renal pelvis and ureter, which was suspected to be peripelvic urinary extravasation caused by stent occlusion. We decided that conservative treatment would not improve his condition and conducted surgical therapy considering the possibility of malignancy. Intraoperatively, viscous and fragile tumor affected the renal pelvis and ureter. The operation resulted in left nephrectomy because radical resection was impossible. The pathological diagnosis was sarcomatoid urothelial carcinoma of the renal pelvis with ureter origin. He died due to multipleorgan failureon day 20 after theope ration. Were port a caseof sarcomatoid urothelial carcinoma in the upper urinary tract that was difficult to diagnose preoperatively based on imaging studies. |
| نوع الوثيقة: | report |
| اللغة: | Japanese |
| تدمد: | 0018-1994 |
| Relation: | http://hdl.handle.net/2433/263322; AN00208315; 泌尿器科紀要; 67; 191; 195; Acta urologica Japonica; Hinyokika Kiyo |
| DOI: | 10.14989/ActaUrolJap_67_5_191 |
| الاتاحة: | http://hdl.handle.net/2433/263322 https://doi.org/10.14989/ActaUrolJap_67_5_191 |
| Rights: | 許諾条件により本文は2022-06-01に公開 |
| رقم الانضمام: | edsbas.C583C80C |
| قاعدة البيانات: | BASE |
| تدمد: | 00181994 |
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| DOI: | 10.14989/ActaUrolJap_67_5_191 |