Acta Urologica Japonica最新文献

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[Pneumomediastinum with Chest Pain after Retroperitoneal Laparoscopic Nephrectomy : A Case Report]. [腹膜后腹腔镜肾切除术后纵隔气肿伴胸痛1例]。
Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_289
Fumie Yoshioka, Tetsuji Soda, Yohei Koida, Hiroshi Kiuchi, Kenichiro Sekii
{"title":"[Pneumomediastinum with Chest Pain after Retroperitoneal Laparoscopic Nephrectomy : A Case Report].","authors":"Fumie Yoshioka, Tetsuji Soda, Yohei Koida, Hiroshi Kiuchi, Kenichiro Sekii","doi":"10.14989/ActaUrolJap_70_9_289","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_9_289","url":null,"abstract":"<p><p>A 54-year-old woman underwent retroperitoneal laparoscopic nephrectomy for a non-functional left kidney due to ureter stone in September 2022. She was operated without problems. Seven hours postoperatively, she complained of chest pain with a distressed facial expression. Electrocardiogram findings were negative for coronary artery disease, and echocardiography was negative for major pulmonary thromboembolism. Computed tomography showed emphysema and pneumomediastinum. The chest pain gradually resolved over time and was eventually diagnosed with pain due to pneumomediastinum. The subsequent clinical course was uneventful and she was discharged without complications on the 10th postoperative day.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 9","pages":"289-292"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781425","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
[Renal Pelvic Cancer with Inferior Vena Cava Tumor Thrombus: A Case Report]. 【肾盆腔癌合并下腔静脉肿瘤血栓1例】。
Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_271
Hitoshi Yokozeki, Takayuki Sumiyoshi, Takehiro Yamane, Toshihide Hosomi, Hiromichi Nakagawa, Atsushi Igarashi, Masashi Takeda, Takashi Matsuoka, Kaoru Murakami, Jin Kono, Yuki Kita, Kimihiko Masui, Takeshi Sano, Takayuki Goto, Atsuro Sawada, Yuki Teramoto, Takashi Kobayashi
{"title":"[Renal Pelvic Cancer with Inferior Vena Cava Tumor Thrombus: A Case Report].","authors":"Hitoshi Yokozeki, Takayuki Sumiyoshi, Takehiro Yamane, Toshihide Hosomi, Hiromichi Nakagawa, Atsushi Igarashi, Masashi Takeda, Takashi Matsuoka, Kaoru Murakami, Jin Kono, Yuki Kita, Kimihiko Masui, Takeshi Sano, Takayuki Goto, Atsuro Sawada, Yuki Teramoto, Takashi Kobayashi","doi":"10.14989/ActaUrolJap_70_9_271","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_9_271","url":null,"abstract":"<p><p>A 68-year-old male was referred to our hospital because plain computed tomography (CT) showed right hydronephrosis. Contrast-enhanced CT revealed a mass with an irregular margin and poor contrast effect in the lower pole of the right kidney, which invaded the perirenal fat tissues and the area around the inferior vena cava (IVC). Moreover, a thrombus extending from the right renal vein to the IVC was detected, some of which was suggestive of tumor components on contrast-enhanced magnetic resonance imaging (MRI). Biopsy of the renal pelvic mucosa revealed urothelial carcinoma, which was diagnosed as cT4N0M0 renal pelvic cancer. After five courses of neoadjuvant chemotherapy with gemcitabine plus carboplatin, the patient underwent right nephroureterectomy. To avoid tumor cell dissemination into the abdominal cavity, we removed the thrombus and a portion of the IVC were removed en bloc with the right kidney without opening the vein. On pathological diagnosis, the renal tumor was identified as high-grade urothelial carcinoma with sarcomatoid features and squamous differentiation. The tumor invaded the IVC wall through perirenal fat tissues and further developed into a mass in the lumen of the vein. Although the patient was treated with nivolumab as a postoperative adjuvant therapy, he developed liver metastases and local recurrence on the right psoas muscle 6 months after surgery and is currently receiving chemotherapy with enfortumab vedotin.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 9","pages":"271-276"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781429","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
[The Usefulness of MAG3 Diuretic Renography in the Evaluation of Stomal Obstruction after Cutaneous Ureterostomy]. [MAG3利尿肾造影在皮肤输尿管造瘘术后瘘口阻塞评估中的应用]。
Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_261
Chul Jang Kim, Eiki Hanada, Masatoshi Nakamura, Kayo Takeuchi, Akinori Wada, Susumu Kageyama
{"title":"[The Usefulness of MAG3 Diuretic Renography in the Evaluation of Stomal Obstruction after Cutaneous Ureterostomy].","authors":"Chul Jang Kim, Eiki Hanada, Masatoshi Nakamura, Kayo Takeuchi, Akinori Wada, Susumu Kageyama","doi":"10.14989/ActaUrolJap_70_9_261","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_9_261","url":null,"abstract":"<p><p>Cutaneous ureterostomy (CU) is the most simple and safe method of all permanent urinary diversions, but is associated with a risk for stomal obstruction. It is important to appropriately manage hydronephrosis associated with CU. We evaluated the occurrence of stomal obstruction after CU by 99m Tcmercaptoacetyltriglycine (MAG3) diuretic renography three months after surgery. CU was performed after radical cystectomy in 46 patients (90 renal units,RUs) with a minimum follow-up period of 12 months, including 39 men and seven women. The median follow-up period was 102.1 months. The data analyses were performed with half-times to tracer clearance (T1/2) following furosemide administration. The mean T1/2 was 8.45±8.04 minutes. Seventy-five RUs (83.3%) had T1/2 of less than 15 minutes,and 74 (98. 7%) out of 75 RUs had no hydronephrosis. Ten RUs (11.1%) had T1/2 of more than 20 minutes,and all 10 RUs required stent insertions (six RUs) or became atrophic kidneys (four RUs) without the stent insertion. In conclusion,MAG3 diuretic renography was very useful for diagnosing stomal obstruction after CU. T1/2 of less than 15 minutes could be judged as non-obstructive systems,and T1/2 of more than 20 minutes could be judged as obstructed systems. T1/2 between 15 and 20 minutes indicate equivocal studies. Therefore,we recommend the immediate stent insertion in RUs with T1/2 of more than 20 minutes three months after surgery.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 9","pages":"261-265"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781456","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
[Two Cases of Metanephric Adenoma Operated on for Preoperative Diagnosis of Renal Malignancy]. 后肾腺瘤手术诊断肾恶性肿瘤2例
Acta Urologica Japonica Pub Date : 2024-08-01 DOI: 10.14989/ActaUrolJap_70_8_247
Takayuki Yamamoto, Hiroki Ito, Tomohiko Aigase, Hirota Nagasaka, Kota Aomori, Ryosuke Jikuya, Tomoyuki Tatenuma, Mitsuru Komeya, Yusuke Ito, Kentaro Muraoka, Hisashi Hasumi, Takashi Hibiya, Koji Okudera, Shoji Yamanaka, Satoshi Fujii, Kazuhide Makiyama
{"title":"[Two Cases of Metanephric Adenoma Operated on for Preoperative Diagnosis of Renal Malignancy].","authors":"Takayuki Yamamoto, Hiroki Ito, Tomohiko Aigase, Hirota Nagasaka, Kota Aomori, Ryosuke Jikuya, Tomoyuki Tatenuma, Mitsuru Komeya, Yusuke Ito, Kentaro Muraoka, Hisashi Hasumi, Takashi Hibiya, Koji Okudera, Shoji Yamanaka, Satoshi Fujii, Kazuhide Makiyama","doi":"10.14989/ActaUrolJap_70_8_247","DOIUrl":"10.14989/ActaUrolJap_70_8_247","url":null,"abstract":"<p><p>Metanephric adenoma is an extremely rare disease. We describe two cases of metanephric adenoma. Case 1 : A 17-year-old male adolescent developed gross hematuria, and urinalysis revealed positive protein and occult blood. He was referred to our department for further evaluation and likely tumor removal. Contrast-enhanced computed tomography (CT) showed a neoplasm (23 mm) with poor contrast effect during the early as well as the late contrast phase. Case 2 : A 61-year-old woman presented with an incidentally detected tumor in the lower pole of the right kidney ; contrast-enhanced CT revealed a large neoplasm (10 mm) with poor contrast effect during the early as well as late contrast phase. Both patients underwent robot-assisted partial nephrectomy (RAPN) under the preoperative diagnosis of papillary renal cell carcinoma. Metanephric adenoma is histopathologically indistinguishable from papillary renal cell carcinoma preoperatively, and histopathology and immunostaining are neceaasry for accurate diasnosis.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 8","pages":"247-251"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773224","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 Spontaneous Rupture of a Metastatic Renal Tumor Caused by Hepatocellular Carcinoma]. [1例肝细胞癌所致肾转移瘤自发性破裂]。
Acta Urologica Japonica Pub Date : 2024-08-01 DOI: 10.14989/ActaUrolJap_70_8_241
Kazumasa Murase, Yoshito Takahashi, Seiji Hishida, Kei Kawata, Kenichiro Ishida, Masahiro Nakano, Mituhiro Taniguchi, Masaki Katayama
{"title":"[A Case of Spontaneous Rupture of a Metastatic Renal Tumor Caused by Hepatocellular Carcinoma].","authors":"Kazumasa Murase, Yoshito Takahashi, Seiji Hishida, Kei Kawata, Kenichiro Ishida, Masahiro Nakano, Mituhiro Taniguchi, Masaki Katayama","doi":"10.14989/ActaUrolJap_70_8_241","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_8_241","url":null,"abstract":"<p><p>TA 51-year-old Japanese man presented with a history of percutaneous transhepatic portal veinembolization, right hepatic lobectomy for hepatocellular carcinoma, and left upper pulmonary lobectomy forpulmonary metastasis of hepatocellular carcinoma. Owing to the elevated tumor marker levels,ultrasonography and fluorodeoxyglucose-positron emission tomography-computed tomography (FDG-PETCT) were performed, which revealed a left renal tumor 24 mm in diameter with FDG accumulation ;accordingly, renal metastasis of hepatocellular carcinoma was diagnosed. Localized radiofrequencyablation (RFA) was scheduled due to the absence of metastases other than that in the left kidney. The tumorcould not be effectively visualized using ultrasonography immediately before RFA ; therefore, a CT scan wasperformed. CT revealed a hematoma around the left kidney resulting from the spontaneous rupture of a leftrenal tumor ; consequently, RFA was discontinued. A left nephrectomy was performed for radicaltreatment of the left renal tumor. The pathological diagnosis of the resected specimen was left renalmetastasis of hepatocellular carcinoma. This is the third reported case in Japan of spontaneous rupture of ametastatic renal tumor from hepatocellular carcinoma.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 8","pages":"241-245"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773218","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
[Four Cases of Bladder Cancer in Young Patients with Severe Motor and Intellectual Disabilities]. 青年严重运动和智力障碍患者膀胱癌4例分析
Acta Urologica Japonica Pub Date : 2024-08-01 DOI: 10.14989/ActaUrolJap_70_8_227
Taketoshi Nara, Kazuyuki Numakura, Akane Kikuchi, Yuya Sekine, Yumina Muto, Mizuki Kobayashi, Soki Kashima, Ryohei Yamamoto, Mitsuru Saito, Shintaro Narita, Tomonori Habuchi
{"title":"[Four Cases of Bladder Cancer in Young Patients with Severe Motor and Intellectual Disabilities].","authors":"Taketoshi Nara, Kazuyuki Numakura, Akane Kikuchi, Yuya Sekine, Yumina Muto, Mizuki Kobayashi, Soki Kashima, Ryohei Yamamoto, Mitsuru Saito, Shintaro Narita, Tomonori Habuchi","doi":"10.14989/ActaUrolJap_70_8_227","DOIUrl":"10.14989/ActaUrolJap_70_8_227","url":null,"abstract":"<p><p>Recent advances in medical and nursing care have improved the prognosis of patients with severe motor and intellectual disabilities (SMID). However,there has been a proportionate increase in the incidence of malignant tumor-related deaths in this population owing to their prolonged survival. In this study,we reviewed the clinical characteristics of four bladder cancers in young SMID patients treated at our hospital. In all patients,a diagnosis of a bladder tumor was made after a referral from the family medical department to the urology department ; the median time from the first symptom to the diagnosis was 12.5 months (range : 0-17 months). In clinical staging,two patients had non-invasive cancer,while the other two had invasive bladder cancer (one patient with cN1). Radical cystectomy with ileal conduit was performed in three patients (pathological stages were pTa with CIS,pT3aN1,and pT3bN0),and transurethral bladder tumor ablation was performed in the fourth one. The median postoperative follow-up period was 134 months (range : 20-182 months). Three patients survived afterward,while one patient died due to other causes. These findings suggest that young SMID patients tend to have a more severe form of bladder cancer compared to the general young population. Therefore,complaints of gross hematuria and urinary symptoms in young patients with SMID need appropriate evaluation in cooperation with the family department for an early diagnosis.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 8","pages":"227-231"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773220","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 Retroperitoneal Abscess with Severe Inflammatory Adherence to Inferior Vena Cava]. 腹膜后脓肿伴严重下腔静脉炎性粘附1例。
Acta Urologica Japonica Pub Date : 2024-08-01 DOI: 10.14989/ActaUrolJap_70_8_253
Shogo Makino, Jun-Ichi Hori, Haruka Takagi, Keigo Takeuchi, Shun Morishita, Miyu Otani, Shin Kobayashi, Naoki Wada, Takeya Kitta, Hidehiro Kakizaki
{"title":"[A Case of Retroperitoneal Abscess with Severe Inflammatory Adherence to Inferior Vena Cava].","authors":"Shogo Makino, Jun-Ichi Hori, Haruka Takagi, Keigo Takeuchi, Shun Morishita, Miyu Otani, Shin Kobayashi, Naoki Wada, Takeya Kitta, Hidehiro Kakizaki","doi":"10.14989/ActaUrolJap_70_8_253","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_8_253","url":null,"abstract":"<p><p>We report a case of retroperitoneal abscess mimicking a malignant retroperitoneal tumor. A 77-yearold woman was referred to our hospital because of retroperitoneal tumor without any symptoms. The tumor was located just behind the inferior vena cava, and the tumor size was about 38 mm. The tumor showed no abnormal findings in positron emission tomography (PET) and 123I-MIBG scintigraphy. We considered the tumor as benign tumor or retroperitoneal cyst. Follow-up computed tomography (CT) 6 months after the first visit to our department showed no change in the tumor. However, 3months later, she presented with fever, general fatigue and back pain. CT scan at that time showed that the tumor had enlarged to about 70 mm, and the tumor seemed to have invaded into the inferior vena cava. Thrombus into the inferior vena cava was also found. These findings were suggestive of malignancy, so we decided to remove the tumor. During the operation, the tumor was removed together with the inferior vena cava and right kidney because of severe adhesion. The pathological diagnosis was retroperitoneal abscess. Retroperitoneal abscess is caused by various reasons including diabetes mellitus, steroid use, inflammatory disease of gastrointestinal tract and retroperitoneal organs. Although the etiology was unknown in the present case, acute infection of the preexisting retroperitoneal cyst was a possible cause.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 8","pages":"253-256"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773217","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
[Risk Factors for Positive Resection Margins in Robot-Assisted Laparoscopic Radical Prostatectomy after Systematic and MRI-Ultrasound Fusion Guided Prostate Biopsy]. [机器人辅助腹腔镜根治性前列腺切除术系统和mri超声融合引导前列腺活检后切缘阳性的危险因素]。
Acta Urologica Japonica Pub Date : 2024-08-01 DOI: 10.14989/ActaUrolJap_70_8_233
Toshifumi Takahashi, Masakazu Nakashima, Kouhei Maruno, Tatsuya Hazama, Yuya Yamada, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito
{"title":"[Risk Factors for Positive Resection Margins in Robot-Assisted Laparoscopic Radical Prostatectomy after Systematic and MRI-Ultrasound Fusion Guided Prostate Biopsy].","authors":"Toshifumi Takahashi, Masakazu Nakashima, Kouhei Maruno, Tatsuya Hazama, Yuya Yamada, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito","doi":"10.14989/ActaUrolJap_70_8_233","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_8_233","url":null,"abstract":"<p><p>There is a riskof positive resection margins (RMs) in patients who had undergone robot-assisted laparoscopic radical prostatectomy (RARP) following systematic prostate biopsies. This study examined the riskof positive RM post-RARP when magnetic resonance imaging-ultrasonography (MRI-US) fusion biopsy was performed along with systematic prostate biopsy. Sixty-one patients who had undergone MRI fusion biopsy and systematic transrectal and transperineal biopsies, followed by RARP, at our hospital between September 2020 and October 2023 were included. The median age was 61 years, and the median PSA level was 8.4 ng/ml. Although there was no significant difference between the two groups, the RM-positive group exhibited a significantly higher clinical stage. Of the 122 lobes of the prostate (including the right and left lobes), the RM-positive group (26 lobes) had a significantly higher proportion of positive transrectal biopsies of the internal and external glands of the 61 cases. Additionally, in the RM-positive group, the proportion of positive transperineal biopsies of the internal glands and the ratio of positive systematic biopsies were significantly higher. Logistic regression analysis of riskfactors linked to increased RM-positivity revealed that neurovascular bundle (NVB) preservation and positive target biopsy were not significant variables. However, systematic biopsies positivity rate was a significant riskfactor. Thus, the riskof RMpositivity was shown to be associated with the systematic biopsy positivity rate, which suggested that systematic biopsies may be necessary for evaluating the indications for NVB preservation.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 8","pages":"233-239"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773222","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 Renal Pelvic Tumor Diagnosed after Resection of a Solitary Subcutaneous Metastasis: A Case Report]. [切除单发皮下转移瘤后确诊的晚期肾盂肿瘤:病例报告]。
Acta Urologica Japonica Pub Date : 2024-07-01 DOI: 10.14989/ActaUrolJap_70_7_219
Shiori Saikawa, Tetsuyuki Kurokawa, Yasuharu Kaizaki, Naoki Terada
{"title":"[Advanced Renal Pelvic Tumor Diagnosed after Resection of a Solitary Subcutaneous Metastasis: A Case Report].","authors":"Shiori Saikawa, Tetsuyuki Kurokawa, Yasuharu Kaizaki, Naoki Terada","doi":"10.14989/ActaUrolJap_70_7_219","DOIUrl":"10.14989/ActaUrolJap_70_7_219","url":null,"abstract":"<p><p>A 75-year-old woman had suffered from intermittent gross hematuria. Ultrasonography, enhanced CT, cystoscopy and urinary cytology had no abnormal findings. Four months later, antibiotics were administered for recurrent gross hematuria and urinary frequency, and not effective. Then, a subcutaneous masson her buttock wasfound to be rapidly growing. The tumor waspathologically diagnosed asan adenocarcinoma by surgical resection. One month later, she had lower abdominal pain and the enhanced CT examination revealed right renal pelvic tumor. Laparoscopic nephroureterectomy was performed and the pathological diagnosiswaspoorly differentiated urothelial carcinoma with adenocarcinoma differentiation. Under the immunohistochemical analyses, the patient was diagnosed with renal pelvic tumor with subcutaneous metastasis. Chemotherapy was not effective for the rapid metastasis throughout the body, and the patient died 4 monthsafter the surgery.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 7","pages":"219-222"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733155","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
[Comparison of Chronic Testicular Pain and Scrotal Pain Due to Varicocele Using the Japanese Short Form McGill Pain Questionnaire (SF-MPQ)]. [使用日本麦吉尔疼痛简表(SF-MPQ)比较精索静脉曲张引起的慢性睾丸疼痛和阴囊疼痛]。
Acta Urologica Japonica Pub Date : 2024-07-01 DOI: 10.14989/ActaUrolJap_70_7_201
Masaki Kimura, Takahiro Yoshida, Takashi Ujiie, Kazuki Takei, Yuumi Tokura, Itsuki Yoshimura, Taketo Kawai, Tomoyuki Kaneko, Tohru Nakagawa
{"title":"[Comparison of Chronic Testicular Pain and Scrotal Pain Due to Varicocele Using the Japanese Short Form McGill Pain Questionnaire (SF-MPQ)].","authors":"Masaki Kimura, Takahiro Yoshida, Takashi Ujiie, Kazuki Takei, Yuumi Tokura, Itsuki Yoshimura, Taketo Kawai, Tomoyuki Kaneko, Tohru Nakagawa","doi":"10.14989/ActaUrolJap_70_7_201","DOIUrl":"10.14989/ActaUrolJap_70_7_201","url":null,"abstract":"<p><p>Chronic testicular pain (CTP) is testicular pain that persists for more than 3 months, and the cause of the pain is often unknown, sometimes requiring differentiation from varicocele (VC). In this study, the shortform McGill pain questionnaire (SF-MPQ), which allows a detailed assessment of pain, was used to examine the clinical differences between CTP and scrotal pain due to VC. A retrospective study (IRB# : TeiRin21- 036) was conducted on 77 patients who visited our clinic between 2018 and 2022 with the chief complaint of scrotal pain. Of the 77 patients, 19 were diagnosed with CTP and 58 patients with VC. All patients were evaluated for marital status, smoking, alcohol consumption, body mass index, and duration of pain. In addition, comorbidities were assessed using the Charlson Comorbidity Index (CCI). All patients were asked to complete the Numerical Rating Scale (NRS), Verbal Rating Scale (VRS), and SF-MPQ. With respect to the patient background, the CTP group was significantly older than the VC group, had a higher percentage of married patients, and had higher CCI. Concerning pain assessment, the CTP group had significantly higher NRS and VRS than the VC group. In terms of pain sensation and character, the CTP group experienced significantly more throbbing, shooting, stabbing, sharp, burning, and tender pain than the VC group. Regarding, the emotional aspects of pain, they significantly felt the pain tiring- exhausting, sickening, fearful, and punishing-cruel. These results suggest that the SF-MPQ may be a useful questionnaire in the evaluation of CTP.</p>","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 7","pages":"201-206"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733163","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
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