Romics I, Bach D, Beutler W
Department of Urology, St. Agnes Hospital, Bocholt, Germany.
Urology. 1992 Nov;40(5):453-5. doi: 10.1016/0090-4295(92)90463-7.
This report is of a malignant schwannoma originating in the capsule of the right kidney. Using sonography, nephroangiography, cavography, computer tomography, and bone scanning, metastases in the kidney or a retroperitoneal tumor could be diagnosed. After transperitoneal exploration, the right kidney and mesenteric metastases were removed. Due to tumor infiltration into the liver and tumor masses in the retroperitoneum, only nephrectomy and palliative excision of retroperitoneal metastases were done. Pulmonary metastases developed postoperatively, and the patient died three months after the operation.
本报告为一例起源于右肾包膜的恶性神经鞘瘤。通过超声检查、肾血管造影、腔静脉造影、计算机断层扫描和骨扫描，可诊断出肾脏或腹膜后肿瘤的转移情况。经腹膜后探查后，切除了右肾及肠系膜转移灶。由于肿瘤浸润至肝脏且腹膜后有肿瘤肿块，仅进行了肾切除术及腹膜后转移灶的姑息性切除。术后出现了肺转移，患者在术后三个月死亡。
