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原発巣(胃癌)の診断が困難であった若年女子続発性膀胱腫瘍の1例 / A case of secondary bladder tumor the origin (gastric cancer) of which could not be identified before autopsy

Authors
  • 水谷, 陽一
  • 橋村, 孝幸
  • 北山, 太一
  • 利光, 敞
  • 野々村, 光生
Publication Date
May 01, 1990
Source
Kyoto University Research Information Repository
Keywords
Language
Japanese
License
Unknown

Abstract

Primary bladder tumor is the most frequent malignant tumor in the field of urology, whereas the incidence of secondary bladder tumor from a distant organ is quite rare. We report here a 21-year-old female patient with metastatic bladder tumor from gastric cancer. She came to our hospital with a complaint of only bladder irritability. Cystoscopical and cytological examinations revealed rhabdomyosarcoma of the bladder. She did not respond to radiation therapy and combined chemotherapy, consisting of actinomycin D, vincristine and cyclophosphamide, and died 91 days after admission. Autopsy revealed a primary tumor of poorly differentiated scirrhus carcinoma of the stomach. Thus this was a quite rare case of metastatic bladder carcinoma characterized by bladder irritability without gastrointestinal symptoms.

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