Kazushi Hanawa, N. Sawada, Yuka Yokota, Junki Aikawa, Yuko Otake, Koki Sugimura, H. Shimura, Takanori Mochizuki, S. Kira, Takahiko Mitsui
{"title":"Effect of rechallenge nivolumab in a hemodialysis patient with multiple metastases from a rapidly progressed T1a renal clear cell carcinoma: An autopsy case","authors":"Kazushi Hanawa, N. Sawada, Yuka Yokota, Junki Aikawa, Yuko Otake, Koki Sugimura, H. Shimura, Takanori Mochizuki, S. Kira, Takahiko Mitsui","doi":"10.1002/iju5.12699","DOIUrl":"https://doi.org/10.1002/iju5.12699","url":null,"abstract":"Distant metastasis of T1a renal cell carcinoma is rare and whether metastasis is more probable in patients undergoing hemodialysis remains unclear. We report the autopsy case of a patient undergoing hemodialysis with multiple metastases that rapidly progressed from T1a renal cell carcinoma treated with multimodal therapy including nivolumab.A 70‐year‐old male who underwent hemodialysis was diagnosed with clear cell carcinoma (pT1a, G2) after nephrectomy. Six months post‐surgery, bone and lung metastases appeared and treated with radiotherapy and pazopanib, respectively. Nivolumab was administered as second‐ and fourth‐line treatments for lung metastases. The patient died approximately 60 months after initial diagnosis; however, nivolumab controlled disease progression for 24 months. An autopsy revealed the lung's occupation with clear cell carcinoma tumor tissue.Nivolumab has potential to control lung metastasis progression. Additionally, rechallenge is possible in patients with renal cell carcinoma undergoing hemodialysis.","PeriodicalId":507273,"journal":{"name":"IJU Case Reports","volume":"34 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779568","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}
Jurii Karibe, J. Teranishi, Takashi Kawahara, Takeaki Noguchi, T. Takeshima, K. Osaka, Eita Kumagai, T. Sawazumi, Satoshi Fujii, Hiroji Uemura
{"title":"A diagnostically challenging case of inflammatory myofibroblastic tumor primary to the peritoneum","authors":"Jurii Karibe, J. Teranishi, Takashi Kawahara, Takeaki Noguchi, T. Takeshima, K. Osaka, Eita Kumagai, T. Sawazumi, Satoshi Fujii, Hiroji Uemura","doi":"10.1002/iju5.12701","DOIUrl":"https://doi.org/10.1002/iju5.12701","url":null,"abstract":"Inflammatory myofibroblastic tumors are difficult to diagnose because of the lack of specific indicators. We describe a diagnostically challenging case of an inflammatory myofibroblastic tumor primary to the peritoneum.The patient was a 25‐year‐old male who presented at our hospital with lower abdominal pain. Computed tomography revealed a mass lesion 80 mm in diameter just above the bladder. This was suspected to be a bleeding tumor of the urachus. Since malignancy could not be ruled out, surgery was planned. This revealed a fragile tumor arising from the peritoneum. Following its removal, the tumor was diagnosed by histopathological analysis as an inflammatory myofibroblastic tumor.We describe a case of inflammatory myofibroblastic tumor primary to the peritoneum diagnosed by histopathology. Inflammatory myofibroblastic tumor should be considered in the differential diagnosis of abdominal wall and anterior bladder tumors.","PeriodicalId":507273,"journal":{"name":"IJU Case Reports","volume":"79 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779364","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}
Shuhei Aoyama, K. Izumi, Tomoyuki Makino, R. Naito, S. Kadomoto, H. Iwamoto, H. Yaegashi, Shohei Kawaguchi, K. Shigehara, T. Nohara, Atsushi Mizokami
{"title":"A seed link connector protruding into the bladder formed a bladder stone","authors":"Shuhei Aoyama, K. Izumi, Tomoyuki Makino, R. Naito, S. Kadomoto, H. Iwamoto, H. Yaegashi, Shohei Kawaguchi, K. Shigehara, T. Nohara, Atsushi Mizokami","doi":"10.1002/iju5.12704","DOIUrl":"https://doi.org/10.1002/iju5.12704","url":null,"abstract":"Low‐dose‐rate brachytherapy is performed for localized prostate cancer. We report the first case of a bladder stone encompassing the seed migrated into the bladder in a patient treated with low‐dose‐rate brachytherapy.A man was diagnosed with prostate cancer and underwent low‐dose‐rate brachytherapy. After 2 months, dysuria occurred, and ultrasonography revealed a needle‐shaped high‐intensity protruding from the prostate into the bladder. Cystoscopy examination found a seed link connector. With the possibility of natural dissolution of the seed link, careful observation was chosen. However, 16 months later, hematuria occurred, and an X‐ray revealed a bladder stone encompassing the seed. Compared with the X‐ray right after seeding, the seed located near the right bladder neck had fallen. The seed was removed by transurethral bladder lithotripsy.Seeds should be carefully located within the prostate, otherwise a bladder stone may be formed encompassing the seed.","PeriodicalId":507273,"journal":{"name":"IJU Case Reports","volume":"79 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849499","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}
Noboru Mimura, T. Takeshima, Shun Aoki, Tomoki Saito, Jurii Karibe, Y. Yumura
{"title":"Three cases of sperm immobility for intracytoplasmic sperm injection using testicular sperm","authors":"Noboru Mimura, T. Takeshima, Shun Aoki, Tomoki Saito, Jurii Karibe, Y. Yumura","doi":"10.1002/iju5.12702","DOIUrl":"https://doi.org/10.1002/iju5.12702","url":null,"abstract":"Sperm immobility is a condition in which sperm are viable but not motile. We reported three patients with sperm immobility, who underwent testicular sperm extraction‐intracytoplasmic sperm injection.In case 1, a 32‐year‐old patient with sperm immobility had previously undergone intracytoplasmic sperm injection with ejaculated sperm; however, pregnancy was unsuccessful. testicular sperm extraction‐intracytoplasmic sperm injection was performed at our clinic, and pregnancy was achieved. In case 2, a 23‐year‐old patient with clinical varicocele whose semen analysis revealed sperm immobility underwent varicocelectomy, without improvement. Using the hypo‐osmotic swelling test technique, testicular sperm extraction‐intracytoplasmic sperm injection was performed; however, pregnancy was not achieved. In case 3, a 44‐year‐old patient with sperm immobility underwent testicular sperm extraction, and motile sperm were retrieved. testicular sperm extraction‐intracytoplasmic sperm injection using these sperm resulted in pregnancy.Although testicular sperm extraction‐intracytoplasmic sperm injection is not considered a solution in patients with sperm immobility, pregnancies were achieved. testicular sperm extraction‐intracytoplasmic sperm injection may be successful in some cases in which ejaculated sperm intracytoplasmic sperm injection is unsuitable.","PeriodicalId":507273,"journal":{"name":"IJU Case Reports","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789361","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}
Akinobu Katami, Takamitsu Inoue, Hiromichi Sakurai, M. Onozawa, Shin‐ichi Hisasue, Koji Kawai, Junichi Miyazaki
{"title":"Successful treatment with low‐dose oral steroids for contracted bladder after intravesical instillation of Bacillus Calmette–Guérin","authors":"Akinobu Katami, Takamitsu Inoue, Hiromichi Sakurai, M. Onozawa, Shin‐ichi Hisasue, Koji Kawai, Junichi Miyazaki","doi":"10.1002/iju5.12700","DOIUrl":"https://doi.org/10.1002/iju5.12700","url":null,"abstract":"Contracted bladder is a rare adverse effect of intravesical Bacillus Calmette–Guérin instillation, with an incidence of 0.2–3.3%. This report aimed to present a case of contracted bladder successfully treated with a low‐dose oral steroid.A 78‐year‐old man underwent a third transurethral resection of a bladder tumor. The pathological diagnosis was urothelial carcinoma in situ. After the fifth instillation of the second‐line induction therapy of Bacillus Calmette–Guérin, the patient discontinued treatment because of increased urinary frequency and a continuous mean voiding volume of 80 mL. The patient was diagnosed with a contracted bladder based on computed tomography findings and a urination chart. After initiating oral prednisolone (20 mg/day), the patient experienced significant recovery within 2 weeks for both urinary frequency and mean voiding volume of 226 mL.A patient with a contracted bladder after Bacillus Calmette–Guérin instillation was successfully treated with low‐dose oral steroid therapy.","PeriodicalId":507273,"journal":{"name":"IJU Case Reports","volume":"9 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811219","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}