尿管悪性腫瘍と鑑別が困難であったIgG4関連特発性限局性尿管炎の1例

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書誌事項

タイトル別名
  • IgG4-Related Idiopathic Segmental Ureteritis which was Difficult to Distinguish from Ureteral Cancer : A Case Report
  • ニョウカン アクセイ シュヨウ ト カンベツ ガ コンナン デ アッタ IgG4 カンレン トクハツセイ ゲンキョクセイ ニョウカンエン ノ 1レイ

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説明

A 79-year-old woman was admitted with a chief complaint of gross hematuria, pollakisuria, lower abdominal pain. Urine cytology, intravenous pyelography, and cystoscopy were performed but showed no abnormal findings. About 6 months later, abdominal computed tomography (CT) revealed a 5cm long segment of ureteral narrowing with wall thickening, hydronephrosis, para-aortic lymph node swelling. Retrogradepyelography (RP) was done. Pelvic urine cytology was class IV. Under the clinical diagnosis of ureteral carcinoma and lymph node metastasis, a left nephroureterectomy with lymph node dissection was performed. The pathological diagnosis was IgG4-related idiopathic segmental ureteritis.

収録刊行物

  • 泌尿器科紀要

    泌尿器科紀要 59 (3), 167-170, 2013-03

    泌尿器科紀要刊行会

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