癌告知後，妄想を伴ったうつ状態を呈し自殺した尿路上皮腫瘍の1例

A Case of Urothelial Tumor with Delusional Depressive State Who Took His Own Life after the Disclosure of Cancer Diagnosis

　61歳，男性。尿路上皮癌にて根治手術後に癌告知が行われた。告知1年6か月後に妄想を伴ううつ状態と診断され治療を受けたが，告知2年8か月後に突然服毒自殺した。近年，癌告知はその利点から急速な広がりをみせている。しかし，告知直後は患者がうつ状態に陥ることを忘れてはならない。告知直後に患者が陥る精神状態を知り，それに適切に対応することが癌告知を行う医師には不可欠である。

A 61-year-old male was diagnosed to have urothelial cancers. One year and six months after radical operation and disclosure, he had a diagnosis of a depressive state with delusion made by psychiatrist and was started on medication. But, he took his own life with poison two years and eight months after disclosure. The benefits of disclosure of cancer diagnosis have been emphasized in recent years and it has spread rapidly among the clinicians.