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症例
フェナセチン濫用による原発性膀胱腫瘍の1例
PRIMARY BLADDER TUMOR DUE TO PHENACETIN ABUSE: A CASE REPORT
羽入 修吾
1
,
高木 隆治
1
,
西山 勉
1
,
関根 昭一
2
Syugo Hanyu
1
,
Ryuji Takaki
1
,
Tsutomu Nishiyama
1
,
Shoichi Sekine
2
1新潟大学医学部泌尿器科学教室
2新潟県立吉田病院泌尿器科
1Department of Urology, Niigata University School of Medicine
2Department of Urology, Niigata Prefectural Yoshida Hospital
pp.1037-1039
発行日 1985年12月20日
Published Date 1985/12/20
DOI https://doi.org/10.11477/mf.1413204192
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緒言
フェナセチン濫用による尿路腫瘍は欧米ではすでに140例以上報告されており,その発癌性が問題となつているが,本邦での報告はわずかに山本ら1)の1例だけである。最近われわれはフェナセチン濫用による腎乳頭壊死患者で原発性膀胱腫瘍が発生した1例を経験したので,若干の文献的考察を加えて報告する。
A 51-year-old female who complained of gross hematuria was admitted to the Department of Urology in Niigata University Hospital on January 8, 1985. She has abused phenacetin because of mi-graine since 22 years old. When she was 39 years old, diagnosis of bilateral renal papillary necrosis due to phenacetin abuse was made by us. But she continued to take phenacetin without permission. Her total intake of phenacetin was about 9kg in the period of 29 years. Gross hematuria appeared intermittently since April 1984.
Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.