Acta Urologica Japonica最新文献_第8页

[Idiopathic Thrombocytopenia Purpura After Pembrolizumab Treatment Against Locally Recurrent Bladder Cancer : A Case Report]. [彭布罗珠单抗治疗局部复发性膀胱癌症后特发性血小板减少性紫癜：一例报告]。

Acta Urologica Japonica Pub Date : 2023-09-01 DOI: 10.14989/ActaUrolJap_69_9_255

Yuna Hattori, Manabu Kato, Tetsuya Imamura, Souta Inaba, Takashi Terabe, Momoko Kato, Shinichiro Higashi, Takeshi Sasaki, Satoru Masui, Yuko Yoshio, Kouhei Nishikawa, Katsunori Uchida, Takahiro Inoue

引用次数: 0

[Occurrence of Distant Metastasis During Bladder Presevation in T1 high-grade Bladder Cancer: Report of Three Cases]. [T1高级别膀胱癌症术前膀胱远端转移的发生：附3例报告]。

Acta Urologica Japonica Pub Date : 2023-09-01 DOI: 10.14989/ActaUrolJap_69_9_249

Chul Jang Kim, Haruna Ide, Masatoshi Nakamura, Eiki Hanada

{"title":"[Occurrence of Distant Metastasis During Bladder Presevation in T1 high-grade Bladder Cancer: Report of Three Cases].","authors":"Chul Jang Kim, Haruna Ide, Masatoshi Nakamura, Eiki Hanada","doi":"10.14989/ActaUrolJap_69_9_249","DOIUrl":"10.14989/ActaUrolJap_69_9_249","url":null,"abstract":"We report three patients with T1 high-grade (HG) bladder cancer who suffered from distant metastasis during bladder preservation. The patients were a 48-year-old female (Case 1), a 75-year-old female (Case 2) and an 82-year-old male (Case 3) with the chief complaint of asymptomatic gross hematuria. The histopathological diagnoses of the initial transurethral resection of the bladder tumor (TURBT) and second TURBT were urothelial carcinoma, pT1, HG and no malignancy in all three patients. Bladder tumors of all patients revealed sessile growth pattern and no presence of carcinoma in situ. Case 2 and 3 did not receive BCG vesical instillation after the second TURBT. Lymph node metastases appeared in Case 1 and Case 2 and lung metastasis appeared in Case 3. Tumor budding (TB) was positive in Case 1 and Case 2. Variant histology (VH) of nested morphology was detected in Case 1 and VH of inverted morphology in Case 2 and Case 3. Twenty-four months after the initial TURBT, Case 1 died due to cancer progression after cisplatin-based chemotherapy and pembrolizumab therapy. Thirty-three and 11 months after the initial TURBT, Case 2 and Case 3 were alive without cancer progression after cisplatin-based chemotherapy and/or pembrolizumab therapy, respectively. The two patients with T1 HG bladder cancer with TB had lymphatic metastasis and the patient without TB had hematogenous metastasis. Nested morphology is reportedly categorized as high-risk disease and inverted morphology as low-risk disease. TB might be correlated with lymphatic metastasis in T1 HG bladder cancer, and TB should be considered in the management of T1 HG bladder cancer. In the case of VH, the guidelines should be followed during the treatment decision of T1 HG bladder cancer.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 9","pages":"249-254"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41166572","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 Study of Retrograde Ureteroscopic Lithotripsy with Ureteral Access Sheath for Urinary Calculus After Ileal Conduit Construction]. [经尿道入路鞘逆行输尿管镜碎石术治疗回肠导管术后尿路结石的研究]。

Acta Urologica Japonica Pub Date : 2023-09-01 DOI: 10.14989/ActaUrolJap_69_9_239

Tetsuo Fukuda, Hironao Tajirika, Tatsuro Ishikawa, Junichi Matsuzaki

{"title":"[A Study of Retrograde Ureteroscopic Lithotripsy with Ureteral Access Sheath for Urinary Calculus After Ileal Conduit Construction].","authors":"Tetsuo Fukuda, Hironao Tajirika, Tatsuro Ishikawa, Junichi Matsuzaki","doi":"10.14989/ActaUrolJap_69_9_239","DOIUrl":"10.14989/ActaUrolJap_69_9_239","url":null,"abstract":"We retrospectively evaluated the safety and effectiveness of retrograde ureteroscopy via ileal conduit construction. Between January 2014 and December 2021, 5 patients (8 procedures) with ileal conduit construction received retrograde ureteroscopic lithotripsy with a 11/13 Fr ureteral access sheath. At postoperative 1 month, a plain computed tomography (CT) and kidney, ureter, and bladder X-ray (KUB) were performed to assess stone fragmentation and hydronephrosis. According to postoperative imaging, stone-free was defined as residual fragments of 4 mm or less on KUB and 2 mm or less on CT. The mean stone size was 11 mm (6-13 mm). The mean stone volume was 1. 51 ml (0.33-2.56 ml). The mean operative time was 91 min (60-133 min). SFR was 100% on KUB and 87.5% on CT. One procedure (12.5%) resulted in a postoperative fever greater than 38.5℃. There were no complications of grade III or higher according to the modified Clavien-Dindo classification. No exacerbation of hydronephrosis was observed on CT. Retrograde ureteroscopy with a ureteral access sheath was found to be effective for urolithiasis in patients with ileal conduit.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"69 9","pages":"239-242"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162406","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

[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