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原著
類白血病性反応を呈した腎腺癌の1例
A CASE OF RENAL ADENOCARCINOMA ASSOCIATED WITH LEUKEMOID REACTION
平野 章治
1
,
高野 学
1
,
田尻 伸也
1
,
小林 龍吉
2
,
北川 正信
3
Shoji Hirano
1
,
Manabu Takano
1
,
Shinya Tajiri
1
,
Ryukichi Kobayashi
2
,
Masanobu Kitagawa
3
1長野赤十字病院泌尿器科
2長野赤十字病院病理
3金沢大学医学部第1病理学教室
1Department of Urology,Nagano Red Cross Hospital
2Department of Pathology,Nagano Red Cross Hospital
3First Department of Pathology,School of Medicine,Kanazawa University
pp.209-213
発行日 1976年3月20日
Published Date 1976/3/20
DOI https://doi.org/10.11477/mf.1413202122
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最近,われわれは類白血病性反応を呈した腎腺癌のまれな症例を経験したので,臨床所見と剖検所見をあわせて報告する。
A 79-year-old man visited our clinic on March 26, 1974 with a 3-months history of fever, pyuria, left flank pain and anorexia. Left nonvisualizing kidney was shown on IVP. Suspected of left renal tumor associated with pyelonephritis, a left nephroureterectomy was performed on April 4. The histological diagnosis was adenocarcinoma of the left kidney.
From the fifth postoperative day, fever, anorexia, pyuria and arrhythmia recurred. The hematological studies revealed, hyperchromic anemia, reticulocytosis and more marked leukocytosis with a shift to the left and jaundice appeared.
Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.