Uemura Motohide, Nakagawa Masahiro, Mukai Masatoshi, Kanno Nobufumi, Nishimura Kensaku, Miyoshi Susumu, Yoshida Kyotaro, Kawano Kiyoshi
Department of Urology, Osaka Rosai Hospital.
Hinyokika Kiyo. 2003 Aug;49(8):471-3.
A 59-year-old man had undergone total cystourethrectomy for bladder cancer (TCC G2 > G3 pT1) in July, 1991. Eight years later, he visited our department complaining of bleeding from external urethral meatus. Imaging study including computed tomographic (CT) scan and magnetic resonance imaging (MRI) showed a tumor arising from the urethral remnant and left inguinal lymph node involvement. Partial penectomy and left inguinal lymphadenectomy were performed. Histopathological examination revealed that both tumors were transitional cell carcinomas suggesting recurrence of bladder cancer. Two courses of M-VAC chemotherapy were given as adjuvant therapy.
一名59岁男性于1991年7月因膀胱癌（移行细胞癌G2＞G3，pT1）接受了全膀胱尿道切除术。八年后，他因尿道口出血前来我科就诊。包括计算机断层扫描（CT）和磁共振成像（MRI）在内的影像学检查显示，肿瘤起源于尿道残端，并伴有左侧腹股沟淋巴结受累。遂行部分阴茎切除术和左侧腹股沟淋巴结清扫术。组织病理学检查显示，两个肿瘤均为移行细胞癌，提示膀胱癌复发。给予两个疗程的M-VAC化疗作为辅助治疗。
