膀胱後部線維肉腫の1例

RETROVESICAL FIBROSARCOMA:REPORT OF A CASE

　膀胱後部線維肉腫は本邦では4例目にあたる．また本症例は，過去に左精索肉腫，左鼠径部皮膚癌に罹患していた稀な症例である．術前にVAC療法（vincristine, actino—mycin D, cisplatin）を1クール施行した後，骨盤内臓器全摘術，人工肛門造設術，回腸導管造設術を施行した．患者は，術後2年9ヵ月目に肺転移のため死亡した．

A case of retrovesical fibrosarcoma in a 52 year-old man was reported. Only 53 cases of retrovesical sarcoma have been reported in the Japanese literature. Of retrovesical sarcomas, fibrosarcoma is extremetly rare and this is the 4 th case reported in Japan. Moreover, the patient had a history of sarcoma of the spermatic cord and skin cancer of the inguinal region. After a chemotherapy with vincristine, actinomycin D and cisplatin (VAC), the patient underwent a pelvic evisceration with construction of ileal conduit and artificial anus.