Retroperitoneal Fibrosis in a Patient with Gastric Cancer Manifested by Lower Extremity Edema and Hydrocele
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概要
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Herein we report a 57-year-old man with lower extremity edema and swelling in the scrotum who was found to have a periaortic soft tissue mass and hydronephrosis by computed tomography. With the most plausible diagnosis of retroperitoneal fibrosis, corticosteroid therapy was initiated; however, it did not improve his symptoms. Upper gastroscopy performed on day 20 post admission showed ulcerative regions with an irregular border and fusion of thickened rugae at the gastric angle; the diagnosis of gastric adenocarcinoma was confirmed histologically. It is important to always be aware of unrecognized malignancies that are accompanied by retroperitoneal fibrosis.
著者
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Narumi Yoshifumi
Department Of Diagnostic Radiology Himedic Clinic West Medical Corporation
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Kono Tatsuji
Department Of Internal Medicine Iii Osaka Medical College
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Morita Hideaki
Department Of Allergy And Immunology National Research Institute For Child Health And Development Ju
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Ishizaka Nobukazu
Department Of Cardiology Osaka Medical College
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Sohmiya Koichi
Department Of Cardiology Osaka Medical College
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Yokoyama Ryo
Department of Electronics and Applied Physics, Tokyo Institute of Technology, Meguro, Tokyo 152-8552, Japan
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TSUJI Motomu
Division of Cardiology, Department of Medicine, Wakayama Medical College
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Osuga Sho
Department of Cardiology, Osaka Medical College, Japan
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Tazaki Ryunosuke
Department of Cardiology, Osaka Medical College, Japan
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Nishitani Hitoshi
Department of Gastroenterology, Osaka Medical College, Japan
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Ariumi Shinpei
Department of Cardiology, Osaka Medical College, Japan
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Sohmiya Koichi
Department of Cardiology, Osaka Medical College, Japan
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Narumi Yoshifumi
Department of Diagnostic Radiology, Osaka Medical College, Japan
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Kono Tatsuji
Department of Cardiology, Osaka Medical College, Japan
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