サンゴ樹状結石を伴う腎盂扁平上皮癌の術後再発に対するブレオマイシンの治験成績

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A 48 year-old man admitted with chief complaint of right flank pain and fever. X-ray examination revealed staghorn calculi in the right kidney, associated with squamous cell carcinoma. Metastasis of the carcinoma in the retroperitoneum was discovered by biopsy five months after nephrectomy, and Bleomycin treatment was carried out effectively. However, the patient died one year and five months postoperatively. 0n autopsy, there was a necrotic cyst between the duodenum and the vena cava inferior at the level of 1st lumbar vertebra complicated with a duodenal fistula and a rupture of the vena cava inferior. Microscopically, there was little squamous cell carcinoma in the wall of the cyst. No metastasis was marked in the lungs, liver and lymph nodes. He died due to the duodenal fistula, not due to the cachexia of the carcinoma.
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