内容紹介
Summary
A 94-year-old man, who had been diagnosed with a 5.7 cm renal carcinoma 4 months before and followed up with no therapy, presented with a 3-day history of macrohematuria. Abdominal CT revealed an enlarged right renal tumor, tumoral hemorrhage, and a right retroperitoneal hematoma. Therefore, spontaneous rupture of the renal carcinoma was diagnosed. As his general condition was not serious, he rejected aggressive treatments such as nephrectomy. Instead, he chose treatment with an antineoplastic drug, UFT, which was started orally at a dose of 200 mg/day. Under hospitalization, his clinical course was uneventful, and he was discharged 14 days later. Follow-up CT films showed that the size of the tumor gradually decreased. Sixteen months after UFT administration, a CT displayed a right renal tumor with an 86% decrease in size compared with the tumor size when first diagnosed.
要旨
症例は94歳,男性。4か月前に径5.7 cmの右腎癌を診断,経過観察していたが肉眼的血尿のため再診した。単純CTで右腎腫瘍の増大,右後腹膜腔内の血液貯留などを認め,腎癌が自然破裂を来したものと診断した。全身状態は安定しているため保存的治療としたが,抗癌剤治療は希望したためUFTを1日量200 mgで開始した。入院後経過は順調で14日目に退院となった。以後外来治療にて腫瘍の縮小傾向を認め,UFT開始後1年4か月目には86%の縮小を来した。
目次
A 94-year-old man, who had been diagnosed with a 5.7 cm renal carcinoma 4 months before and followed up with no therapy, presented with a 3-day history of macrohematuria. Abdominal CT revealed an enlarged right renal tumor, tumoral hemorrhage, and a right retroperitoneal hematoma. Therefore, spontaneous rupture of the renal carcinoma was diagnosed. As his general condition was not serious, he rejected aggressive treatments such as nephrectomy. Instead, he chose treatment with an antineoplastic drug, UFT, which was started orally at a dose of 200 mg/day. Under hospitalization, his clinical course was uneventful, and he was discharged 14 days later. Follow-up CT films showed that the size of the tumor gradually decreased. Sixteen months after UFT administration, a CT displayed a right renal tumor with an 86% decrease in size compared with the tumor size when first diagnosed.
要旨
症例は94歳,男性。4か月前に径5.7 cmの右腎癌を診断,経過観察していたが肉眼的血尿のため再診した。単純CTで右腎腫瘍の増大,右後腹膜腔内の血液貯留などを認め,腎癌が自然破裂を来したものと診断した。全身状態は安定しているため保存的治療としたが,抗癌剤治療は希望したためUFTを1日量200 mgで開始した。入院後経過は順調で14日目に退院となった。以後外来治療にて腫瘍の縮小傾向を認め,UFT開始後1年4か月目には86%の縮小を来した。