腎細胞癌の下大静脈内腫瘍栓塞

概要

論文の詳細を見る
Among 109 cases of renal cell carcinoma which received treatment at Jikei University Hospital during the 26 years from 1953 to 1978, clinical observation was carried out in 1O cases (9.2%) diagnosed as having tumor thrombus of the inferior vena cava. Out of these 1O patients, 7 were males and 3 were females. Their age ranged from 22 to 69 years, with an average of 50 years. The affected side was right in 8 cases and left in 2 cases, with a prevalence of the right side. As the triad, apart from gross hematuria observed in 8 of 1O cases the renal mass could be palpated in as many as 7 cases (70%). Extrarenal symptoms were noted in 9 cases, especially fever was seen in a high percentage of patients (7 cases or 70%). Clinical findings of inferior vena caval obstruction revealed varicocele in the right side in 2 cases and edema of lower extremities in 2 cases. However, proteinuria was found in 7 cases (70%). Laboratory findings showed an elevation of α_2-globulin levels in 9 cases, and positive CRP in 5 of 7 cases tested. Liver dysfunction was noted in only 2 cases.
社団法人日本泌尿器科学会の論文
1979-10-20