乳癌腎転移の1例 RENAL METASTASIS FROM CARCINOMA OF THE BREAST : REPORT OF A CASE

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67歳女性.左乳癌に対し胸筋温存乳房切除術を1997年3月25日に受け,Stage IIIaでリンパ節転移は陽性であった.術後1年目に肝転移をきたし,肝動注を続け (5FU1500mg48時間持続2週間毎), 8カ月後のCTで肝転移はPRとなったが,右腎転移が発見され,他に転移はなく1999年3月10日右腎摘出術を受けた.肉眼的腫瘍径は約6cmで術後病理診により乳癌腎転移と診断された.術後の経過は全身化学療法を施行したが肝転移の増悪,肺転移の出現で腎摘出後1年2カ月後に死亡した.これまでの臨床例での報告は本例を含め8例のみしか文献的に報告はなく乳癌腎転移の手術例は稀と考えられた.早期診断のために乳癌術後の経過観察には腹部CTなどの検索が重要と思われた.

We report a case of a 67-year-old woman who developed renal metastasis 19 months after a left mastectomy for breast carcinoma. It was in Stage III a with positive lomph nodes. One year after the operation, liver metastasis was found and subsequently a hepatic arterial catheter was inserted for chemotherapy (1500mg of 5FU for 48 hrs every two week) under laparotomy. The liver metastasis had been kept at partial remission status for 8 months, when right renal metastasis 5×5cm in size was incidentally found by an abdominal CT scan. Right nephrectomy was performed. Pathologically it was Metastasis from the carcinoma of the breast. She died of progression of liver metastasis in spite of general chemotherapy 14 months after the nephrectomy. Renal metastasis from carcinoma of the breast is uncommon and only seven operated cases have been reported in the world including our case. For early diagnosis of renal metastasis from breast cancer, exploration using abdominal CT scan would be mandatory while the patient is followed after operation for the primary foci. This rare case is reported together with a review of the literature.

収録刊行物

  • 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 62(4), 1049-1051, 2001-04-25

    Japan Surgical Association

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各種コード

  • NII論文ID(NAID)
    10008389848
  • NII書誌ID(NCID)
    AA11189709
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    13452843
  • データ提供元
    CJP書誌  J-STAGE 
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