Bhatia Alka, Das Ashim, Kumar Yashwant, Kochhar Rakesh
Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Diagn Pathol. 2006 Sep 14;1:29. doi: 10.1186/1746-1596-1-29.
Duodenal metastasis is rare in renal cell carcinoma (RCC) and early detection, especially in case of a solitary mass, helps in planning further therapy.
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.
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.
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。
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。
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。