A Case of Long-Term Survivor after Combined Modality Therapy for Brain Metastasis of Bladder Carcinoma

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  • Yasuda, Kengo
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Nakamura, Masafumi
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Takamoto, Daiji
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Sanjo, Hiroyuki
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Gohbara, Ayako
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Teranishi, Jun-ichi
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Yumura, Yasushi
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Miyoshi, Yasuhide
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Kondo, Keiichi
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Noguchi, Kazumi
    The Department of Urology and Kidney transplantation, Yokohama City University Medical Center
  • Kubota, Yoshinobu
    The Department of Urology, Yokohama City University, School of Medicine

Bibliographic Information

Other Title
  • 脳転移後, 集学的治療により長期生存を得ている膀胱尿路上皮癌の1例
  • ノウ テンイ ゴ,シュウガクテキ チリョウ ニ ヨリ チョウキ セイゾン オ エテ イル ボウコウ ニョウロ ジョウヒガン ノ 1レイ

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Abstract

A 75-year-old man with advanced bladder cancer (cT4N1M0) received three courses of systemic chemotherapy with Methotrexate, Epirubicin and Nedaplatin (MEN). His metastatic lymph node completely disappeared. We performed total cystectomy. Three months after the surgery, he complained of neck pain and nausea. Brain magnetic resonance imaging (MRI) revealed a 3 cm tumor in his right cerebella and a 5 mm tumor in left parietal lobe. He underwent surgical resection of the right cerebellar tumor and a gamma knife therapy for the left parietal tumor. Pathological diagnosis was metastatic urothelial carcinoma. We performed three additional courses of chemotherapy of MEN. He has been well without local recurrence or distant metastasis for 18 months.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 58 (10), 553-556, 2012-10

    泌尿器科紀要刊行会

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