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肾细胞癌转移至十二指肠:一种罕见情况。

Renal cell carcinoma metastasizing to duodenum: a rare occurrence.

作者信息

Bhatia Alka, Das Ashim, Kumar Yashwant, Kochhar Rakesh

机构信息

Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Diagn Pathol. 2006 Sep 14;1:29. doi: 10.1186/1746-1596-1-29.

Abstract

BACKGROUND

Duodenal metastasis is rare in renal cell carcinoma (RCC) and early detection, especially in case of a solitary mass, helps in planning further therapy.

CASE PRESENTATION

We present the case report of a 55 year old male with duodenal metastasis of RCC. This patient presented with jaundice and abdominal lump one year after nephrectomy. On upper gastrointestinal endoscopy a submucosal mass lesion was noted in the duodenum, the biopsy of which revealed metastasis.

CONCLUSION

In a nephrectomized patient presenting with jaundice and an abdominal mass, the possibility of metastasis should be suspected and a complete evaluation, especially endoscopic examination followed by biopsy, should be carried out.

摘要

背景

十二指肠转移在肾细胞癌(RCC)中较为罕见,早期发现,尤其是在孤立性肿块的情况下,有助于规划进一步的治疗。

病例报告

我们报告一例55岁男性肾细胞癌十二指肠转移的病例。该患者在肾切除术后一年出现黄疸和腹部肿块。上消化道内镜检查发现十二指肠有一个黏膜下肿块病变,活检显示为转移瘤。

结论

对于肾切除术后出现黄疸和腹部肿块的患者,应怀疑有转移的可能,并进行全面评估,尤其是内镜检查及随后的活检。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c124/1578589/c9434a22223c/1746-1596-1-29-1.jpg

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