Vedrine L, Duvic C, Camparo P, Herody M, Seris P, Nedelec G
Clinique de Néphrologie, Hôpital d'Instruction des Armées du Val-de-Grace, Paris.
Ann Med Interne (Paris). 2001 Feb;152(1):59-61.
Microscopic hematuria is an uncommon inaugural sign of kidney tumors in young asymptomatic patients. Renal clear-cell carcinoma was diagnosed in a 23-year-old female explored for microscopic hematuria. Radical nephrectomy removed a 7-cm tumor without local extension. The cytogenic study of the tumor disclosed X;1 translocation. The patient also had IgA deficiency. Von Hippel-Lindau disease or a cytogenetic abnormality in the tumor are to be searched for in young adults with renal clear-cell carcinoma.
镜下血尿在年轻无症状患者中是肾肿瘤罕见的首发症状。一名23岁因镜下血尿接受检查的女性被诊断为肾透明细胞癌。根治性肾切除术切除了一个7厘米的肿瘤，无局部扩散。肿瘤的细胞遗传学研究显示有X;1易位。该患者还存在IgA缺乏症。对于患有肾透明细胞癌的年轻人，应寻找冯·希佩尔-林道病或肿瘤中的细胞遗传学异常。
