- 著者
- 内島 豊 小林 信幸 諏訪多 順二 中目 康彦 吉田 謙一郎 斎藤 博
- 出版者
- 泌尿器科紀要刊行会
- 雑誌
- 泌尿器科紀要 (ISSN:00181994)
- 巻号頁・発行日
- vol.35, no.3, pp.447-451, 1989-03
1987年1月より同年12月までに尿道炎あるいは前立腺炎で受診した55症例についてC. trachomatisに対する抗原および抗体価をそれぞれクラミジアザイム(EIA法)とIFA法で測定した.1)未治療の非淋菌性尿道炎症例において抗原の陽性率は44.4%であり,既治療の非淋菌性尿道炎症例での陽性率は20%であった.2)未治療の非淋菌性尿道炎症例においてIgG抗体価の陽性率は59.3%であり,既治療の非淋菌性尿道炎症例のIgG抗体価の陽性率は61.5%であった.3)非淋菌性尿道炎症例での陽性一致率は66.7%であり,陰性一致率は54.2%であった.4)未治療の前立腺炎症例では抗原の陽性率は9.1%であり,抗体価の陽性率は53.8%であった.5) IgG抗体価は治療と相関しない傾向があった.6) IgG抗体価は,治療開始後3ヵ月を経過しても正常化しなかった
1 0 0 0 OA 多房性嚢胞状腎細胞癌の2例 : 51報告例の検討と予後調査の結果
- 著者
- 遠坂 顕 吉田 謙一郎 小林 信幸 竹内 信一 内島 豊 斉藤 博
- 出版者
- 泌尿器科紀要刊行会
- 雑誌
- 泌尿器科紀要 (ISSN:00181994)
- 巻号頁・発行日
- vol.38, no.9, pp.1045-1050, 1992-09
We report 2 cases of multilocular cystic renal cell carcinoma. One was in a 33-year-old male, presenting with ultrasonic abnormality of the left kidney at an annual employee health care examination. Computerized tomography (CT) demonstrated a 5 cm of multilocular cystic mass adjacent to the lower pole of the left kidney. Another was in a 44-year-old male, presenting with microscopic hematuria at an annual employee health care examination. CT of the abdomen revealed a 6.5 cm of multilocular cystic mass on the upper pole of the right kidney. Both were diagnosed as renal cell carcinoma by the angiography and underwent radical nephrectomy. Gross specimens showed typical multilocular cystic appearance and histopathology showed clear cell carcinoma infiltrating septa and replacing epithelium of the cyst walls. Both patients are alive without evidence of disease at, 21 months and 14 months after operation, respectively. Including our cases, 51 multilocular cystic renal cell carcinoma and multilocular cystic nephroma associated with renal cell carcinoma have been reported. From the review of the literatures and the answer of the questionnaires inquiring about the outcome of the patient to Japanese reporters, the outcome of 38 patients was ascertained. The 10-year survival rates and non-recurrence rate after operation calculated by the Kaphan-Meier formula were 97.3% and 90.3%, respectively. Because of the good prognosis of reported cases, we concluded that we should choose kidney-sparing surgery for the operation of multilocular cystic renal cell carcinoma.