Eke N, Eghwrudjakpor P, Echem R C
Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Niger J Med. 2003 Jul-Sep;12(3):154-6.
Renal cell carcinoma occasionally presents in an unusual manner.
To report the rare presentation of renal cell carcinoma as a scalp swelling.
The case record of a patient with renal cell carcinoma and the literature on the disease were reviewed.
A 42-year old woman presented with a scalp swelling. Haematuria was missed at the first visit until she volunteered it on a subsequent visit. Investigations suggested renal cell carcinoma. This was confirmed following a right nephrectomy. The scalp lesion was a metastasis extending through the skull into the intracranial compartment. She was not given any systemic drugs because none was available. She survived until she was lost to follow up.
Haematuria remains an important symptom of renal cell cancer and should be elicited during systemic enquiry.
肾细胞癌偶尔会以不寻常的方式出现。
报告肾细胞癌罕见地表现为头皮肿胀。
回顾了一名肾细胞癌患者的病历及关于该疾病的文献。
一名42岁女性出现头皮肿胀。首次就诊时漏诊了血尿，直到她在后续就诊时主动提及。检查提示为肾细胞癌。右肾切除术后得以确诊。头皮病变是一处转移瘤，穿过颅骨延伸至颅内腔隙。由于没有可用的全身治疗药物，未给予她任何此类药物。她一直存活至失访。
血尿仍然是肾细胞癌的重要症状，在系统问诊时应予以询问。
