Bragagnolo J, Damiani H, Ferrer J, Sánchez Mazzaferri F, Yunes J
Departamento de Urología, Sanatorio Parque, Rosario, Argentina.
Arch Esp Urol. 2000 Mar;53(2):164-7.
To report a case of renal cell carcinoma associated with renal angiomyolipoma and renal cortical adenoma and discuss the possibility of a hereditary etiology.
A 64-year-old patient with a tumor in the right kidney underwent right renal nephrectomy. The pathological findings revealed a clear cell renal carcinoma, two cortical angiomyolipoma and a renal cortical adenoma. The literature on these three coincident renal tumors is reviewed.
The association of these three renal tumors is rare and is usually seen in patients with tuberous sclerosis.
Renal angiomyolipoma is a benign tumor frequently associated with Bourneville's disease or tuberous sclerosis, a disorder of autosomal dominant transmission. Familial evidence of renal cell carcinoma has been previously reported, as in von Hippel-Lindau disease. It has been suggested that heredity may play an important role in the association of renal cell carcinoma and other renal tumors.
报告一例肾细胞癌合并肾血管平滑肌脂肪瘤及肾皮质腺瘤的病例,并探讨其遗传病因的可能性。
一名64岁右肾肿瘤患者接受了右肾切除术。病理检查发现为透明细胞肾细胞癌、两个皮质血管平滑肌脂肪瘤和一个肾皮质腺瘤。回顾了有关这三种同时存在的肾肿瘤的文献。
这三种肾肿瘤同时存在的情况罕见,通常见于结节性硬化症患者。
肾血管平滑肌脂肪瘤是一种常见的良性肿瘤,常与常染色体显性遗传的博恩维尔病或结节性硬化症相关。此前已有肾细胞癌家族性证据的报道,如在冯·希佩尔-林道病中。有人提出,遗传因素可能在肾细胞癌与其他肾肿瘤的关联中起重要作用。