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タイトル: | 腹腔鏡下仙骨膣固定術後に診断された子宮体癌に対する手術において骨盤底再建術を併施した1例 |
その他のタイトル: | Pelvic Reconstruction in Abdominal Trachelectomy and Bilateral Salpingo-Oophorectomy for Occult Uterine Endometrial Cancer Found in Specimens Removed in the Context of Laparoscopic Sacrocolpopexy |
著者: | 善山, 徳俊 大渕, 朝日 大井手, 志保 大岩, 一平 永榮, 美香 西尾, 浩二郎 常盤, 紫野 松浦, 拓人 沢田, 勇吾 林, 篤正 大塚, 伊佐夫 北川, 育秀 野村, 昌良 |
著者名の別形: | YOSHIYAMA, Yasutoshi OBUCHI, Tomoka OIDE, Shiho OIWA, Ippei NAGAE, Mika NISHIO, Kojiro TOKIWA, Shino MATSUURA, Takuto SAWADA, Yugo HAYASHI, Tokumasa OTSUKA, Isao KITAGAWA, Yasuhide NOMURA, Masayoshi |
キーワード: | LSC Endometrial cancer Pelvis reconstruction |
発行日: | 30-Apr-2023 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 69 |
号: | 4 |
開始ページ: | 117 |
終了ページ: | 120 |
抄録: | In the patients undergoing pelvic organ prolapse (POP) repairs, the incidence of occult uterine endometrial cancer is low and there is no established management procedure for preoperative cancer screening. We report a case of pelvic reconstruction in abdominal trachelectomy and bilateral salpingo-oophorectomy for occult uterine endometrial cancer found in specimens removed in the context of laparoscopic sacrocolpopexy (LSC). A 70-year-old woman presented to our center with cystocele. She underwent LSC and laparoscopic supracervical hysterectomy. She had no atypical genital bleeding; and, transvaginal ultrasound, pelvic plane magnetic resonance imaging and cervical cytology showed no evidence of malignancy. However, the pathological examination showed uterine endometrial cancer. She underwent trachelectomy, bilateral salpingo-oophorectomy and pelvic lymph node dissection. A part of mesh was removed with a cervical stamp, but the remaining mesh was sewn together. At 5 months after the operation, no recurrence of uterine endometrial cancer and POP was seen. |
著作権等: | 許諾条件により本文は2024-05-01に公開 |
DOI: | 10.14989/ActaUrolJap_69_4_117 |
URI: | http://hdl.handle.net/2433/282081 |
PubMed ID: | 37183043 |
出現コレクション: | Vol.69 No.4 |
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