Acta Urologica Japonica最新文献_第10页

[Adrenal Hemangiomatous Endothelial Cyst That was Difficult to Differentiate from Adrenal Malignant Tumor: A Case Report]. [肾上腺血管瘤内皮囊肿与肾上腺恶性肿瘤难以鉴别：一例报告]。

Acta Urologica Japonica Pub Date : 2023-09-01 DOI: 10.14989/ActaUrolJap_69_9_243

Akira Tachibana, Yoshitaka Itami, Kota Iida, Masaya Hashimura, Yukinari Hosokawa, Kiyohide Fujimoto

引用次数: 0

[Port Site Recurrence After Laparoscopic Nephrectomy for Renal Cell Carcinoma --Report of Two Cases and Literature review-]. [肾细胞癌腹腔镜肾切除术后复发——附2例报告及文献复习]。

Acta Urologica Japonica Pub Date : 2023-08-01 DOI: 10.14989/ActaUrolJap_69_8_221

Seiji Nagasawa, Takahiro Fukuda, Noritaka Motoki, Tomoaki Yamauchi, Asahi Tabata, Takahiro Hayashi, Motohiro Taguchi, Kimihiro Shimatani, Hiroyuki Iio, Toueki Yanagi, Yusuke Yamada, Shuken Go, Akihiro Kanematsu, Michio Nojima, Shingo Yamamoto, Takashi Yamasaki, Seiichi Hirota

{"title":"[Port Site Recurrence After Laparoscopic Nephrectomy for Renal Cell Carcinoma --Report of Two Cases and Literature review-].","authors":"Seiji Nagasawa, Takahiro Fukuda, Noritaka Motoki, Tomoaki Yamauchi, Asahi Tabata, Takahiro Hayashi, Motohiro Taguchi, Kimihiro Shimatani, Hiroyuki Iio, Toueki Yanagi, Yusuke Yamada, Shuken Go, Akihiro Kanematsu, Michio Nojima, Shingo Yamamoto, Takashi Yamasaki, Seiichi Hirota","doi":"10.14989/ActaUrolJap_69_8_221","DOIUrl":"10.14989/ActaUrolJap_69_8_221","url":null,"abstract":"Case 1: A male in his 60s underwent a right transperitoneal laparoscopic partial nephrectomy procedure for a right renal tumor. Rupture of a renal cyst located close to the tumor occurred intraoperatively. The histopathological diagnosis was clear cell renal cell carcinoma (CCRCC), pT1aN0M0, G2, v0, with negative resection margins. At 84 months after surgery, computed tomography (CT) revealed a 10 mm mass in the rectus abdominis muscle at the camera port site used for the partial nephrectomy. An open lumpectomy was then performed and the histopathological diagnosis was CCRCC. One year later, a 40 mm sized mass was detected in the mesentery of the small intestine by CT, which was removed laparoscopically with part of the mesentery and diagnosed as CCRCC. Since that surgery, the patient has been free from recurrence for 8 years.Case 2: A male in his 60s underwent a left retroperitoneal laparoscopic nephrectomy procedure for a left renal tumor. The histopathological diagnosis was CCRCC, pT1aN0M0, G1, v0, with negative resection margins. At 31 months after surgery, CT revealed a 32 mm mass in the retroperitoneal cavity at the right hand port site used for the laparoscopic nephrectomy. The mass was removed with part of the twelfth rib and erector spinae muscles in a lump, and the histopathological diagnosis was CCRCC. Since that surgery, the patient has been free from recurrence for 19 months. For the treatment of solitary port site recurrence of renal cell carcinoma after a laparoscopic radical/partial nephrectomy, we recommend surgical resection for a good prognosis.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 8","pages":"221-226"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10158666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Clinical Outcome of Surgical Resection for Renal Cell Carcinoma with Inferior Vena Cava Tumor Thrombus]. [肾细胞癌合并下腔静脉肿瘤血栓手术切除的临床疗效]。

Acta Urologica Japonica Pub Date : 2023-08-01 DOI: 10.14989/ActaUrolJap_69_8_207

Hiromi Nakanishi, Kojiro Ohba, Yuichiro Nakamura, Takuji Yasuda, Kensuke Mitsunari, Tomohiro Matsuo, Yasushi Mochizuki, Yasuyoshi Miyata

{"title":"[Clinical Outcome of Surgical Resection for Renal Cell Carcinoma with Inferior Vena Cava Tumor Thrombus].","authors":"Hiromi Nakanishi, Kojiro Ohba, Yuichiro Nakamura, Takuji Yasuda, Kensuke Mitsunari, Tomohiro Matsuo, Yasushi Mochizuki, Yasuyoshi Miyata","doi":"10.14989/ActaUrolJap_69_8_207","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_69_8_207","url":null,"abstract":"We analyzed 45 patients who were diagnosed with renal cell carcinoma with inferior vena cava tumor thrombus (IVC) and underwent surgical resection at Nagasaki University Hospital during the 17 years from March 2003 to November 2020. The median overall survival (OS) was 68.5, 53.5, 45.7, and 20.4 months, respectively, according to the tumor thrombus level (Lv) of I, II, III and IV, with a median level of (P＝0.025). In multivariate analysis, pathological sarcomatoid changes were associated with risk of tumor recurrence in the postoperative complete remission group, and IVC thrombus level above Lv III was associated with poor prognosis in the postoperative incomplete remission group. On postoperative systemic treatment for the postoperative recurrence group and the incomplete remission group, overall survival was significantly prolonged in cases using immune checkpoint inhibitors. The results of surgical treatment of renal cell carcinoma with IVC tumor embolization were analyzed. Patients who underwent surgical resection and achieved postoperative complete remission had a relatively long prognosis with a median OS of more than 6 years. In contrast, patients with metastases, especially those with postoperative incomplete remission group, had a poor prognosis despite surgical resection, depending on the patient's situation.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 8","pages":"207-214"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10158664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A Case of Metastatic Renal Cell Carcinoma with Arthritis and Colitis Due to Immune-Related Adverse Events During Ipilimumab-Nivolumab Combination Therapy]. [伊匹单抗-纳沃单抗联合治疗期间因免疫相关不良事件导致的转移性肾癌合并关节炎和结肠炎1例]。

Acta Urologica Japonica Pub Date : 2023-08-01 DOI: 10.14989/ActaUrolJap_69_8_227

Moe Toyoshima, Daiki Ikarashi, Hiroyuki Tsuboi, Makoto Moriwaka, Shinji Tamada, Tomohiko Matsuura, Shigekatsu Maekawa, Renpei Kato, Mitsugu Kanehira, Ryo Takata, Jun Sugimura, Wataru Obara

引用次数: 0

[A Case of Chromophobe Renal Cell Carcinoma Producing Interleukin-6 with Stauffer Syndrome]. [1例产生白细胞介素-6的嫌色性肾细胞癌伴Stauffer综合征]。

Acta Urologica Japonica Pub Date : 2023-08-01 DOI: 10.14989/ActaUrolJap_69_8_215

Tateki Yoshino, Ayako Itakura, Shinnosuke Fujikawa, Asahi Saitoh, Shota Oshima, Kazuo Kawakami, Tomoyuki Sugitani, Tomohiko Yamamoto, Taichi Nagami, Hiroaki Yasumoto

{"title":"[A Case of Chromophobe Renal Cell Carcinoma Producing Interleukin-6 with Stauffer Syndrome].","authors":"Tateki Yoshino, Ayako Itakura, Shinnosuke Fujikawa, Asahi Saitoh, Shota Oshima, Kazuo Kawakami, Tomoyuki Sugitani, Tomohiko Yamamoto, Taichi Nagami, Hiroaki Yasumoto","doi":"10.14989/ActaUrolJap_69_8_215","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_69_8_215","url":null,"abstract":"A 41-year-old male consulted a local doctor with fever and left flank pain. He was introduced to our hospital for a left renal mass detected by ultrasonography. Blood analysis revealed elevated white blood cell count, C-reactive protein, bilirubin and aspartate transaminase. Computed tomography demonstrated a left renal mass (expansive growth), which was 11 cm in maximum diameter and enhanced moderately at the corticomedullary phase. Neither distant metastasis, infectious findings nor hepatobiliary abnormalities were observed. The patient underwent laparoscopic radical nephrectomy with a clinical diagnosis of non-clear cell renal cell carcinoma cT2bN0M0 with Stauffer syndrome. The surgery required 186 minutes of insufflation, and estimated blood loss and specimen weight were 44 ml and 695 g, respectively. There were no complications. Histopathological diagnosis was chromophobe renal cell carcinoma-classic pattern (ChRCC-C), which was producing interleukin-6 in the tumor cytoplasm immunohistochemically. Postoperatively, there was early defervescence with complete resolution of the Stauffer syndrome. No relapse or liver dysfunction has occurred at 5 years after operation. To our knowledge, this is the first reported case in the literature of ChRCC accompanied by Stauffer syndrome.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 8","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10158665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A Case of Secondary Syphilis Mimicking a Penile Cancer with Lymph Node Metastases]. 继发性梅毒伴阴茎癌伴淋巴结转移1例

Acta Urologica Japonica Pub Date : 2023-07-01 DOI: 10.14989/ActaUrolJap_69_7_199

Hiroki Shimoda, Issei Suzuki, Toshiki Kijima, Naoki Imasato, Hidetoshi Kokubun, Gaku Nakamura, Kohei Takei, Daisaku Nishihara, Hironori Betsuno, Masahiro Yashi, Takao Kamai

{"title":"[A Case of Secondary Syphilis Mimicking a Penile Cancer with Lymph Node Metastases].","authors":"Hiroki Shimoda, Issei Suzuki, Toshiki Kijima, Naoki Imasato, Hidetoshi Kokubun, Gaku Nakamura, Kohei Takei, Daisaku Nishihara, Hironori Betsuno, Masahiro Yashi, Takao Kamai","doi":"10.14989/ActaUrolJap_69_7_199","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_69_7_199","url":null,"abstract":"A 42-year-oldman visited our hospital because of gradually worsening penile swelling over 3 weeks. A hard mass on the glans was palpated; however, we were unable to observe it due to severe phimosis. Magnetic resonance imaging of the pelvis revealed enlargement of glans and swelling of bilateral inguinal lymph nodes as both showed a low signal intensity on T2-weightedimaging, a high signal intensity on diffusion-weighted imaging, and a low signal intensity on the apparent diffusion coefficient map. Fluorine- 18-deoxyglucose (FDG) positron emission tomography showed FDG uptake at the external iliac, common iliac, obturator, and cervical lymph nodes besides the glans and inguinal lymph nodes. Although his serum squamous cell carcinoma antigen level was within the normal range, his soluble interleukin-2 receptor concentration was elevated to 2,290 U/ml. Therefore, we diagnosed these lesions as penile cancer with multiple lymph node metastases, with a possible differential diagnosis of malignant lymphoma. We planned a penile needle biopsy; however, the rapid plasma reagin test and treponema pallidum hemagglutination test, which were performed during the preoperative examination, were positive and led to a diagnosis of secondary syphilis. The patient was treated with oral amoxicillin at 1,500 mg/day for 8 weeks. The penile and lymph node swelling subsided after starting medication.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 7","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Advanced Bladder Cancer with Multiple Pulmonary Metastases Treated with Paclitaxel/Ifosfamide/Nedaplatin Therapy : Two Case Reports]. [紫杉醇/异环磷酰胺/奈达铂治疗晚期膀胱癌合并多发性肺转移:2例报告]。

Acta Urologica Japonica Pub Date : 2023-07-01 DOI: 10.14989/ActaUrolJap_69_7_183

Toshihide Hosomi, Noboru Shibasaki, Hikari Otsuka, Shoko Uketa, Yuki Makino, Yasumasa Shichiri

{"title":"[Advanced Bladder Cancer with Multiple Pulmonary Metastases Treated with Paclitaxel/Ifosfamide/Nedaplatin Therapy : Two Case Reports].","authors":"Toshihide Hosomi, Noboru Shibasaki, Hikari Otsuka, Shoko Uketa, Yuki Makino, Yasumasa Shichiri","doi":"10.14989/ActaUrolJap_69_7_183","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_69_7_183","url":null,"abstract":"The standard treatment for advanced urothelial carcinoma includes platinum-based chemotherapy and programmed cell death protein 1 or programmed death ligand 1 inhibitors. However, urothelial carcinomas are often associated with both intrinsic and acquired resistance to these treatments. Paclitaxel, ifosfamide, and nedaplatin (TIN) chemotherapy has been proven to be effective as the second- or third-line treatment for platinum-resistant advanced urothelial cancer. Herein, we report two cases of patients with advanced bladder cancer resistant to platinum-based chemotherapy or pembrolizumab, who were treated with TIN chemotherapy. The first case was in a 66-year-old woman treated with gemcitabine and cisplatin (GC) chemotherapy followed by gemcitabine, paclitaxel, and cisplatin chemotherapy for multiple pulmonary metastases after radical cystectomy. Following reduction in pulmonary metastases after six courses of TIN treatment, metastasectomy and two courses of adjuvant TIN treatment were administered, with no recurrence for eight years. The other case was in a 70-year-old man treated with GC chemotherapy and pembrolizumab for invasive bladder cancer and multiple pulmonary metastases. We treated this patient with salvage pelvic exenteration. Pulmonary metastases significantly decreased after six courses of TIN chemotherapy. After a partial response for seven months; the patient died due to a novel cerebellar metastasis after six courses of TIN chemotherapy. Thus, we conclude that TIN chemotherapy can be considered as a third line treatment for advanced urothelial cancer resistant to platinum-based chemotherapy and pembrolizumab.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 7","pages":"183-188"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10594850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A Case of Inflammatory Myofibroblastic Tumor of The Bladder Treated with Partial Cystectomy]. 膀胱部分切除术治疗炎性肌纤维母细胞瘤1例

Acta Urologica Japonica Pub Date : 2023-07-01 DOI: 10.14989/ActaUrolJap_69_7_179

Yudai Funakoshi, Sohei Kanda, Susumu Akihama, Yohei Horikawa, Takuo Tokairin, Naotake Shimoda

引用次数: 0

[A Case of Prostate Cancer Diagnosed by the Bone Biopsy of the Right Iliac Metastatic Lesion]. [右髂骨活检诊断前列腺癌1例]。

Acta Urologica Japonica Pub Date : 2023-07-01 DOI: 10.14989/ActaUrolJap_69_7_193

Masatoshi Konishi, Shu Okamoto, Tetsuya Yamamoto, Tomohiro Kanaki, Jumpei Oshima, Takanori Kinjo, Wataru Nakata, Hiroshi Ohashi, Hitoshi Inoue

{"title":"[A Case of Prostate Cancer Diagnosed by the Bone Biopsy of the Right Iliac Metastatic Lesion].","authors":"Masatoshi Konishi, Shu Okamoto, Tetsuya Yamamoto, Tomohiro Kanaki, Jumpei Oshima, Takanori Kinjo, Wataru Nakata, Hiroshi Ohashi, Hitoshi Inoue","doi":"10.14989/ActaUrolJap_69_7_193","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_69_7_193","url":null,"abstract":"A 73-year-old man was referred to our hospital because of a high prostate specific antigen (PSA) level. The PSA level at our hospital was 63.5 ng/ml. Pelvic magnetic resonance imaging (MRI) showed findings strongly suggestive of multiple pelvic bone metastases, but no obvious malignant findings in the prostate. A 12-core prostate biopsy was performed and no cancer was detected. Computed tomography and bone scintigraphy showed findings suspicious of bone metastases in the sternum, thoracolumbar spine, pelvic bone, and sacrum. Spine MRI revealed a mass in the vertebral body from the eighth thoracic vertebra to the first lumbar vertebra. A biopsy of the right iliac crest showed adenocarcinoma and was positive for PSA staining, leading to the diagnosis of multiple bone metastases of prostate cancer. Abiraterone acetate in combination with androgen deprivation was started. He received medication and radiation therapy to his sternum for pain relief. Spine MRI after 4 months showed decreased vertebral body weights and serum PSA levels were ＜0.003 ng/ml after 5 months. Seventeen months after treatment, PSA remains below 0.003 ng/ml, and the patient is currently pain-free.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 7","pages":"193-197"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A Case of BRCA2 Mutation-Positive Intraductal Carcinoma of the Prostate]. 1例BRCA2突变阳性的前列腺导管内癌。

Acta Urologica Japonica Pub Date : 2023-07-01 DOI: 10.14989/ActaUrolJap_69_7_189

Keisuke Doi, Takanori Fujii, Masanori Hanamoto, Kousuke Takamura, Tetsuya Nakada, Yumiko Sato, Kazuma Ogura

{"title":"[A Case of BRCA2 Mutation-Positive Intraductal Carcinoma of the Prostate].","authors":"Keisuke Doi, Takanori Fujii, Masanori Hanamoto, Kousuke Takamura, Tetsuya Nakada, Yumiko Sato, Kazuma Ogura","doi":"10.14989/ActaUrolJap_69_7_189","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_69_7_189","url":null,"abstract":"A 75-year-old man presented with macroscopic hematuria and a high serum prostate-specific antigen (PSA) level. Macroscopic hematuria had subsided by the time of consultation. The PSA level was 38.590 ng/ml, which, along with rectal examination and magnetic resonance imaging findings, led to the suspicion of prostate cancer. Transrectal needle biopsy of the prostate revealed intraductal carcinoma of the prostate (IDC-P). Computed tomography and bone scintigraphy were performed, and the prostate cancer was classified as cT2cN0M0. After 6 months of combined androgen blockade therapy, a radical prostatectomy was performed; however, PSA levels continued to increase, and the patient was diagnosed with castration resistant prostate cancer. Multiple bone metastases appeared 5 months after the initiation of abiraterone therapy. Three courses of docetaxel and two courses of cabazitaxel were administered, but the disease progression continued. The IDC-P was found to be positive for the BRCA2 mutation by BRACAnalysis® performed at the start of cabazitaxel therapy. To our knowledge, no other cases of BRCA2 mutation positive IDC-P have been reported in Japan. After we started administration of Olaparib, the patient's PSA level was lowered and the disease progression stopped.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 7","pages":"189-192"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9970295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0