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|a Kobori, Yoshitomo
|e verfasserin
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|a Port site metastasis of primary adenocarcinoma of the renal pelvis after a laparoscopic nephrectomy
|b a case report
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|c 2005
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|a Text
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|a ohne Hilfsmittel zu benutzen
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|a Date Completed 26.04.2005
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|a Date Revised 19.11.2015
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|a published: Print
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|a Citation Status MEDLINE
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|a We report a case of port site metastasis of primary adenocarcinoma of the renal pelvis after a laparoscopic nephrectomy. A 76-year-old woman was admitted to our hospital with a complaint of anorexia, general malaise and left abdominal distension. Computed tomography revealed severe hydronephrosis in the left kidney. Laboratory examination revealed a high serum level of CA19-9 (155 U/ml). However, antegrade and retrograde pyelography revealed no filling defects and urine cytopathology for renal pelvis showed no malignancy. Thus, on the suspicion of a ureteropelvic junction stenosis, a laparoscopic nephrectomy was performed. There were some papillary tumors in the renal pelvis and a histopathological examination of the tumor revealed a papillary adenocarcinoma. Twelve months after nephrectomy, left iliopsoas muscle metastasis was found. Thus irradiation therapy with a total of 30 Gy was performed. However, 3 months later, the patient developed metastasis at the trocar site and the serum level of CA19-9 elevated to 6,720 U/ml. She died of multiple metastases from adenocarcinoma of the renal pelvis 4 months after port site metastasis
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|a Biomarkers, Tumor
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|a Shigehara, Kazuyoshi
|e verfasserin
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|a Amano, Toshiyasu
|e verfasserin
|4 aut
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700 |
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|a Takemae, Katsuro
|e verfasserin
|4 aut
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773 |
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 51(2005), 2 vom: 12. Feb., Seite 105-8
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