著者

野田 泰照 岡 大三 鄭 則秀 高田 晋吾 小出 卓生 宮島 進 岡田 奈津子

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.48, no.1, pp.17-19, 2002-01

---

48歳男.15歳時に夜尿症で受診し,矮小陰茎,精巣短縮を指摘され,40歳頃両下腿潰瘍を生じ,右足背・右内果潰瘍が治癒しないため受診,外性器萎縮と再発潰瘍で入院した.体毛は非常に薄くターナーの分類恥毛PH3,陰茎G3に相当し,残存する左精巣容量は1mlであった.X線で両側第5中手骨短縮を認めたが,その他の異常は認めなかった.潰瘍瘢痕は両下腿広範にみられ前立腺は正常大であった.内分泌学的検査では血中テストステロン異常低値,血中FSH・LH異常高値を認め精液検査では精液量0.5以下,精子数0であった.hCG負荷試験で血中テストステロンの若干の増加を認めたが正常域に達せず低値であった.末梢血によるGバンド染色体分析で48XXYYを示しクラインフェルター症候群であった.48XXYYクラインフェルター症候群は我が国24例目,下腿潰瘍合併では5例目であった

著者

米田 傑 金城 孝則 種田 建史 竹澤 健太郎 野村 広徳 鄭 則秀 高田 晋吾 松宮 清美

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.11, pp.621-624, 2012-11

---

Penile self-mutilation is rare. We report our experience with 3 cases of penile self-amputation. One case was in a 48-year-old man who had no background history of mental disorders. He amputated his penis using a utility knife. He was referred to our hospital and underwent suture of the wound, but he took his own life one week after the surgery. Another case was in a 42-year-old man who had intelligence impairment. He amputated his penis using a kitchen knife. The other case was in a 41-year-old man who had schizophrenia. He amputated his penis using a piece of broken glass.

著者

森 直樹 鄭 則秀 垣本 健一 原 恒男 小出 卓生

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.45, no.5, pp.343-347, 1999-05

被引用文献数

2

---

症例1:64歳男.1995年5月食道癌(扁平上皮癌)に対し右開胸開腹食道亜全摘術を施行した.7ヵ月後右腎腫瘍を指摘され,右根治的腎摘除し,転移性扁平上皮癌であった.7ヵ月後死亡した.症例2:63歳男.右気胸に対する手術中,右肺に腫瘍を認め右肺上葉を切除した.腺癌であった.術後,腹部CTで右腎腫瘍を指摘され,右根治的腎摘除術を施行した.組織学的に転移性中分化型腺癌であり,7ヵ月後死亡した.症例3:69歳男,原発性右肺癌に対し右中葉切除,下葉部分切除を行った.腺癌であった.術前後の腹部CT,エコーで左腎嚢胞の増大を認め,開腹生検,転移性腎癌と診断し,右腎摘除術を施行したが,10ヵ月後死亡したSince solitary metastatic renal tumors are not commonly diagnosed before death, the conclusive treatment of the metastatic renal tumor has not been established. We report three cases of metastatic renal tumors and discuss the indication of surgical therapy for metastatic renal tumors. The first case was in a 64-year-old male who underwent esophagectomy for squamous cell carcinoma. Seven months after the operation, a right renal tumor was found. The second case was in a 63-year-old male who underwent right upper pneumonectomy for adenocarcinoma with a right renal tumor, which seemed to be a solitary metastasis. The third case was in a 69-year-old male who underwent right pneumonectomy for adenocarcinoma. One month after the initial operation, a left renal cystic tumor was found. Since, in all cases, the tumors seemed to be solitary metastatic renal tumors without any other metastatic lesions, nephrectomy was performed. Unfortunately, however, the nephrectomy did not improve prognosis and all three patients did within 10 months after the nephrectomy. Nephrectomy may not be recommended in cases of metastatic renal tumors even if no other metastatic lesions can be found by various image examinations.