van Dalen K C, van Driel M F, Mensink H J
Department of Urology, University Hospital Groningen, The Netherlands.
Urol Int. 1992;49(4):222-3. doi: 10.1159/000282432.
A patient was referred to our hospital for resection of a large renal cell carcinoma with invasion of the inferior caval vein, diagnosed as such with CT, angiography and cavography. The history mentioned partial resection of the left lung for lung carcinoma 16 months before. At operation the tumor could not be removed, the patient died because of postoperative pulmonary complications. Autopsy and histopathological examination revealed a large metastatic tumor of the previous lung carcinoma in the left adrenal gland. The clinical implications and some diagnostic methods are discussed.
一名患者因患有侵犯下腔静脉的巨大肾细胞癌被转诊至我院，通过CT、血管造影和腔静脉造影确诊为此病。病史显示16个月前曾因肺癌行左肺部分切除术。手术中肿瘤无法切除，患者因术后肺部并发症死亡。尸检和组织病理学检查发现左肾上腺有一个先前肺癌的巨大转移瘤。本文讨论了其临床意义及一些诊断方法。
