Kyan Atsushi, Kato Shin-nosuke
Department of Urology, Ogachi Chuou Hospital.
Hinyokika Kiyo. 2004 Nov;50(11):791-3.
A 66-year-old male patient underwent left radical nephrectomy for stage III renal cell carcinoma (RCC) two years and eight months previously. He complained of discomfort at his pharynx. An otolaryngeal examination revealed a tumor about 1.3 cm in size at the base of tongue, and the tumor was resected. It was pathologically diagnosed as clear cell carcinoma and as tongue metastasis of RCC. The subsequent appearance of a minute pulmonary metastasis caused the administration of interferon-alpha and interleukin-II. At present, two years after the treatment, neither growth of lung metastasis nor recurrence of tongue tumor are noticed. Tongue metastasis of RCC is rare and its prognosis is poor. This is the 17th case reported in Japan.
一名66岁男性患者在两年零八个月前因III期肾细胞癌(RCC)接受了左肾根治性切除术。他主诉咽部不适。耳鼻喉检查发现舌根部有一个大小约1.3厘米的肿瘤,该肿瘤被切除。病理诊断为透明细胞癌,是RCC的舌部转移瘤。随后出现的微小肺转移导致给予α干扰素和白细胞介素-II治疗。目前,治疗两年后,未发现肺转移灶增大或舌部肿瘤复发。RCC的舌部转移罕见,预后较差。这是日本报道的第17例病例。