自家腎移植術により腎保存を行なった限局性尿管アミロイドーシスの治療経験

概要

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A case with localized amyloidosis of the ureter was presented. This is the fifteenth case in the world and the first case of autotransplantation of the kidney, performed in this disease. The patient was a 62-year-old man who complained of intermittent gross hematuria and left flank pain. Clinical features of the localized amyloidosis of the ureter are similar to those of ureteral neoplasm. Autotransplantation of the kidney was performed to the left iliac fossa in order to preserve renal function because of no malignancy on a biopsy specimen. A localized amyloidosis of the ureter was diagnosed on the histological examination of the specimen after surgery. During one year after surgery, a good renal function without a recurrence has been confirmed. Classification of the amyloidosis was discussed. Diagnosis, prognosis and treatment of the localized amyloidosis of the ureter were also discussed.
泌尿器科紀要刊行会の論文