Item type |
文献 / Documents(1) |
公開日 |
2022-09-09 |
アクセス権 |
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アクセス権 |
open access |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
出版社版DOI |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1159/000524430 |
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言語 |
ja |
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関連名称 |
10.1159/000524430 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
タイトル |
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タイトル |
Micropapillary Variant of Urothelial Carcinoma in a Hemodialysis Patient |
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言語 |
en |
タイトル別表記 |
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その他のタイトル |
Micropapillary Variant of UC in an HD Patient |
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言語 |
en |
著者 |
フクタ, キョウタロウ
イイハラ, キヨタカ
モリヤマ, タカヒロ
ナカニシ, リョウイチ
井﨑, 博文
カンダ, カズヤ
イナイ, トオル
クドウ, エイジ
布川, 朋也
山口, 邦久
山本, 恭代
高橋, 正幸
ストウ, ヤスシ
金山, 博臣
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抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
The micropapillary variant of urothelial carcinoma (MPUC) is an aggressive form of urothelial carcinoma with high metastatic potential and a poor prognosis. Although various therapies have been reported, there is still no established treatment strategy for MPUC due to its rarity. The incidence of urinary tract malignancies is higher in patients undergoing hemodialysis (HD) than in healthy individuals. Here, we report the case of an 82-year-old man on HD with end-stage kidney disease who visited our hospital for macrohematuria. Cystoscopy followed by computed tomography and urine cytology revealed a sessile papillary tumor around the left bladder wall. We performed transurethral resection of the bladder tumor. Based on histopathological and imaging findings indicative of clinical-stage T3N0M0 MPUC, we performed radical cystectomy. Histopathology revealed a pathological stage T4aN0M0 MPUC. Two months after the cystectomy, the patient complained of constipation and painful defecation due to local recurrence and rectal invasion. While colostomy was performed to improve defecation 3 months after cystectomy, he did not receive any chemotherapy due to his progressively worsening general condition. Six months after cystectomy, he died following rapid metastases. Our findings, in this case, confirm that bladder cancer in HD patients tends to be pathologically more advanced. Therefore, regular screening is recommended for its early detection in HD patients. |
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言語 |
en |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Bladder cancer |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Micropapillary variant |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Hemodialysis |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Urothelial carcinoma |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Cystectomy |
書誌情報 |
en : Case Reports in Oncology
巻 15,
号 1,
p. 462-468,
発行日 2022-04-28
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収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
16626575 |
収録物ID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA12780955 |
出版者 |
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出版者 |
S. Karger AG |
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言語 |
en |
権利情報 |
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言語 |
en |
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権利情報 |
This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
EID |
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識別子 |
389092 |
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識別子タイプ |
URI |
言語 |
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言語 |
eng |