日本血管外科学会雑誌
Online ISSN : 1881-767X
Print ISSN : 0918-6778
症例
A Case of Synchronous Renal Cell Carcinoma Producing Granulocyte Colony Stimulating Factor (G-CSF) and Abdominal Aortic Aneurysm
Hiroo ShikataKatsuto MiyazawaYoshimichi UedaTakashi KobataKenji HidaJunichi Matsubara
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ジャーナル オープンアクセス

2006 年 15 巻 5 号 p. 521-524

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A 73-year-old man consulted our cardiology department for hypertension and post-myocardial infarction angina pectoris. After the examination, early gastric cancer was discovered at the lower gastric confines. Preoperative examination (abdominal CT scan) revealed an abdominal aortic aneurysm 7 cm in diameter and a left renal tumor. Simultaneous nephrectomy and repair of the abdominal aortic aneurysm were performed with a median retroperitoneal approach. Immediately after the operation, the white blood cell count increased transiently. At that time, the level of granulocyte colony stimulating factor (G-CSF) in the blood was high (81 pg/ml). The histopathological diagnosis of the tumor was renal cell carcinoma and immunohistochemical staining with an anti G-CSF antibody demonstrated cancer cells producing G-CSF. The postoperative course was uneventful. The patient underwent endoscopic resection of the gastric cancer 38 days after the first operation.

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この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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