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231224s2014 xx ||||| 00| ||jpn c |
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|e rakwb
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| 041 |
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|a jpn
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| 100 |
1 |
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|a Yoshida, Yasuyuki
|e verfasserin
|4 aut
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| 245 |
1 |
2 |
|a A case of urachal carcinoma with multiple lung metastases treated by TS-1/CDDP chemotherapy
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| 264 |
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1 |
|c 2014
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| 336 |
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|a Text
|b txt
|2 rdacontent
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| 337 |
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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| 338 |
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|a Band
|b nc
|2 rdacarrier
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| 500 |
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|a Date Completed 11.06.2014
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| 500 |
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|a Date Revised 24.04.2014
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| 500 |
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|a published: Print
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|a Citation Status MEDLINE
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| 520 |
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|a A 67-year-old woman presented with macroscopic hematuria and lower abdominal pain. Cystoscopy revealed a broad-stalk non-papillary tumor at the bladder dome. Computed tomography (CT) showed a tumor extending from the umbilicus to the bladder dome, together with multiple lung metastases. Serum carcinoembryonic antigen and cancer antigen (CA19-9) levels were elevated at 7.0 ng/ml and 180 U/ml, respectively. Transurethral resection of the tumor was performed and histopathology revealed adenocarcinoma. Therefore, the tumor was diagnosed as a stage IVB (Sheldon's category) urachal carcinoma. En bloc segmental resection of the urachal carcinoma with the bladder dome was performed, followed by chemotherapy with tegafur, gimestat, and otastat potassium (TS-1) and cisplatin. The disease remained stable for 8 months. However, a follow up CT scan after 11 chemotherapy cycles showed progression of the lung metastases. In spite of the change to a second-line gemcitabine and cisplatin chemotherapy regimen, the disease continued to progress after 4 cycles
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| 650 |
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|a Case Reports
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| 650 |
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4 |
|a English Abstract
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| 650 |
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4 |
|a Journal Article
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| 650 |
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7 |
|a Antigens, Tumor-Associated, Carbohydrate
|2 NLM
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| 650 |
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7 |
|a Carcinoembryonic Antigen
|2 NLM
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| 650 |
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7 |
|a Drug Combinations
|2 NLM
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| 650 |
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7 |
|a carbohydrate antigen 199, human
|2 NLM
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| 650 |
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7 |
|a S 1 (combination)
|2 NLM
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| 650 |
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7 |
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| 650 |
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7 |
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| 700 |
1 |
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|a Yamanaka, Kazuaki
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Ueda, Norichika
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Hirai, Toshiaki
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Kishikawa, Hidefumi
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Nishimura, Kenji
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Ichikawa, Yasuji
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 60(2014), 3 vom: 15. März, Seite 147-50
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|x 0018-1994
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|g volume:60
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