Fujii Y, Masuda M, Hirokawa M, Matsushita K, Hasegawa H
Department of Urology, Fujisawa City Hospital.
Hinyokika Kiyo. 1991 Oct;37(10):1307-11.
A 79-year-old male was admitted for macroscopic hematuria and right back pain. A mass shadow in the right lower lung fields had been present for three years previously with unconfirmed diagnosis. Excretory urogram, ultrasonogram and computed tomographic scan revealed bilateral renal tumors. Selective right renal arteriogram demonstrated a slightly hypervascular mass in the upper pole of the right kidney. Chemotherapy was not effective. Slow but definite malignant progression developed and the patient died two and a half years later. Autopsy finally revealed the adenoid cystic carcinoma of the right lung with bilateral renal metastases. The renal metastasis of this tumor is the first case in Japan to our knowledge.
一名79岁男性因肉眼血尿和右背部疼痛入院。右下肺野的肿块阴影已存在三年，此前诊断未明确。排泄性尿路造影、超声检查和计算机断层扫描显示双侧肾肿瘤。选择性右肾动脉造影显示右肾上极有一个血管略丰富的肿块。化疗无效。病情缓慢但明确地进展为恶性，患者在两年半后死亡。尸检最终发现右肺腺样囊性癌伴双侧肾转移。据我们所知，该肿瘤的肾转移在日本是首例。
