1 0 0 0 OA 術後補助化学療法としてTS-1/CDDP 併用化学療法を施行した尿膜管癌の1例
- 著者
- 井上 克己 島田 誠 斎藤 克幸 小川 雄一郎 松原 英司 林 圭一郎 松本 祐樹
- 出版者
- 泌尿器科紀要刊行会
- 雑誌
- 泌尿器科紀要 = Acta urologica Japonica (ISSN:00181994)
- 巻号頁・発行日
- vol.61, no.11, pp.441-443, 2015-11-30
A 49-year-old female presented complaining of gross hematuria. Cystoscopy and magnetic resonance imaging revealed a papillary tumor on the bladder dome. At biopsy pathology the tumor was diagnosed as adenocarcinoma. We diagnosed the tumor as urachal adenocarcinoma and performed partial cystectomy of bladder dome with en-bloc resection of the urachal ligament up to the umbilicus. In surgical pathology, the tumor had invaded to the fat tissue around the urachal ligament with metastasis to the lymph node. Therefore the tumor was diagnosed as a stage IVA (Sheldon’scategory) urachal adenocarcinoma. After surgery, 6cycles of chemotherapy with TS-1 and cisplatin (CDDP) were performed. There has been no relapse 5years after surgery. This is the first report of successful adjuvant chemotherapy with TS-1/CDDP for advanced urachal adenocarcinoma.
1 0 0 0 OA 妊娠初期に症状が悪化した膀胱子宮内膜症の1例
- 著者
- 青木 志保 島田 誠 井上 克己 永田 将一 斎藤 克幸 小川 雄一郎 松原 英司 前田 智子 菅原 基子 林 圭一郎 松本 祐樹
- 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.58, no.6, pp.287-290, 2012-06
We report a case of vesical endometriosis that worsened during the early pregnancy period. A 37-yearold woman had been under treatment for endometriosis (including vesical endometriosis) by a gynecologist during the past 10 years. She was treated for sterility 1 year ago, and became pregnant through in vitro fertilization. In her 8th gestational week, she complained of gross hematuria at our hospital. Cystoscopic findings revealed some tumors that appeared worse than the last findings two years ago. In order to deny malignancy, transurethral resection of the bladder tumor was performed in her 12th gestational week. The pathologic diagnosis was endometriosis. She was able to stay pregnant, and delivered a girl. After delivery, cystoscopic findings revealed reduction of tumors. In most cases pregnancy cures endometriosis ; however, in this case symptoms became worse during the early stage of pregnancy. The reason for this contrary event is discussed.