Kamada Shuhei, Okatoh Atsushi, Nozumi Kazuyoshi, Miyazaki Kanetaka, Inoue Atsushi, Kitoh Hiroki, Nagata Maki
Nihon Hinyokika Gakkai Zasshi. 2015 Jul;106(3):190-3. doi: 10.5980/jpnjurol.106.190.
A 68-year-old woman presented with asymptomatic gross hematuria. Computed tomography (CT) scan revealed noninvasive tumor in the right ureteropelvic junction. After diagnosis with right pelvis carcinoma by ureteroscopy, she underwent laparoscopic nephroureterectomy in Aug. 2008. Six months later, hepatic metastasis was detected. Three courses of combination chemotherapy consisting of gemcitabine and cisplatin (GC) were conducted, and then partial response (PR) was achieved. In Aug. 2009, radical metastasectomy for liver metastasis was performed. More than four years and five months after hepatectomy, the patient has achieved a high quality of life.
一名68岁女性因无症状肉眼血尿就诊。计算机断层扫描(CT)显示右输尿管肾盂连接处有非侵袭性肿瘤。经输尿管镜检查诊断为右肾盂癌后,她于2008年8月接受了腹腔镜肾输尿管切除术。六个月后,检测到肝转移。进行了三个疗程的吉西他滨和顺铂联合化疗(GC),随后获得部分缓解(PR)。2009年8月,对肝转移灶进行了根治性切除术。肝切除术后四年零五个多月来,患者生活质量良好。