Miyagi T, Fuse H, Takashima M, Yotsuyanagi S, Imao T, Uchibayashi T, Namiki M, Kasahara T, Kasajima S, Nonomura A
Department of Urology, Kanazawa University, School of Medicine.
Hinyokika Kiyo. 2001 Jun;47(6):411-4.
A 43-year-old male visited our hospital with the complaint of right flank colicky pain. Computed tomographic (CT)-scan and angiography showed large renal tumor with liver invasion and tumor thrombosis in the vena cava. Multiple lung and bone tumors were also recognized. Percutaneous biopsy of the renal tumor revealed small cell carcinoma. Multiple lung masses were diagnosed as metastatic tumors according to the results of bronchoscopic biopsy. Chemotherapy including cisplatinum and etoposide was performed without success. He died 6 months after the diagnosis. Autopsy specimen revealed primary small cell carcinoma of the right kidney. To our knowledge, this is the seventh case as primary renal small cell carcinoma in the world literature.
一名43岁男性因右侧胁腹绞痛前来我院就诊。计算机断层扫描（CT）及血管造影显示巨大肾肿瘤伴肝侵犯及腔静脉内肿瘤血栓形成。同时还发现了多发肺及骨肿瘤。肾肿瘤的经皮活检显示为小细胞癌。根据支气管镜活检结果，多发肺肿块被诊断为转移瘤。给予顺铂和依托泊苷的化疗未成功。诊断后6个月他死亡。尸检标本显示为右肾原发性小细胞癌。据我们所知，这是世界文献中第七例原发性肾小细胞癌病例。
