Tsuji H, Kurita T, Tahara H, Negita M, Nagai N
Department of Urology, Kinki University School of Medicine.
Hinyokika Kiyo. 2001 Jan;47(1):27-9.
A case of bilateral, synchronous renal cell carcinoma and oncocytoma is reported. The patient was a 70-year-old woman. Computed tomographic scan revealed bilateral low density masses, which had a diameter of approximately 4 cm (right kidney), and 2.5 cm (left kidney). We suspected bilateral renal cell carcinomas, and performed, right nephrectomy and left enucleation of the tumor. Pathological diagnosis was right renal cell carcinoma and left oncocytoma. To our knowledge only 5 previous cases of renal cell carcinoma associated with oncocytoma have been reported in Japan. Two cases were metachronous and three cases were unilateral and synchronous. This is the first reported case of bilateral, synchronous renal cell carcinoma and oncocytoma.
本文报告一例双侧同时性肾细胞癌合并嗜酸细胞瘤。患者为一名70岁女性。计算机断层扫描显示双侧低密度肿块,右侧肿块直径约4 cm,左侧肿块直径2.5 cm。我们怀疑为双侧肾细胞癌,遂行右侧肾切除术及左侧肿瘤剜除术。病理诊断为右侧肾细胞癌及左侧嗜酸细胞瘤。据我们所知,日本此前仅报道过5例肾细胞癌合并嗜酸细胞瘤的病例。其中2例为异时性,3例为单侧同时性。这是首例双侧同时性肾细胞癌合并嗜酸细胞瘤的报道病例。