放射線療法, 化学療法後根治術を施行できた膀胱扁平上皮癌の1例

概要

論文の詳細を見る
症例は45歳男で,臨床病期はpT4N0M0,stage IVaであった.放射線療法は全骨盤腔に40Gy/20回/31日を施行し,化学療法はMethotrexate+Cisplatin+Vinblastine+Adriamycinを行った.治療効果判定に腫瘍マーカSCCとMRIが有用であったA 45-year-old man with hematopyuria detected at another hospital visited our department for further examination. Endoscopic examination revealed a disintegration abscess between the bladder neck and prostatic urethra. Transurethral biopsy demonstrated squamous cell carcinoma of the bladder. He received 40 Gy of radiation combined with M-VAC (methotrexate, vinblastine, dovorubicin cisplatin) chemotherapy. Pathologically, a complete response was found when he underwent total cystourethrectomy. There has been no sign of recurrence for one and a half years postoperatively.