Departmental Bulletin Paper 血液透析患者のベリニ管癌肺転移に対しテムシロリムスを投与した1例
A Case Report : Metastatic Carcinoma of the Collecting Ducts of Bellini in a Hemodialysis Patient Treated with Temsirolimus

赤羽, 瑞穂  ,  中嶋, 正和  ,  坂元, 宏匡  ,  青山, 輝義  ,  河合, 潤

63 ( 6 )  , pp.239 - 243 , 2017-06-30 , 泌尿器科紀要刊行会
ISSN:0018-1994
NCID:AN00208315
Description
Carcinoma of the collecting ductsof Bellini isa rare histological subtype of renal cell carcinoma and mostly has unfavorable prognosis. Radical nephrectomy is generally chosen for the 1st line treatment but therapeutic approaches for the metastasis/recurrence have not been established. We report a case of carcinoma of collecting ducts of Bellini in a patient receiving hemodialysis treated with temsirolimus. A 62- year-old man receiving hemodialysis was admitted to our hospital with drug-resistant anemia and high-grade cyclic fever. Computed tomography revealed the right renal tumor and multiple metastatic lung tumors. Open radical nephrectomy wasperformed. Pathological findingswere compatible with carcinoma of the collecting ducts of Bellini. He was given weekly temsirolimus treatment. The disease progressed modestly but kept the stable disease (SD) status for six months. He died of the cancer 11 months after the initial diagnosis.
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