[双侧肾细胞癌合并多囊肾病：病例报告及文献复习]
[Bilateral renal cell carcinoma associated with polycystic kidney disease: case report and literature review].
作者信息
Kato Taku, Takahashi Yoshito, Nakane Keita, Yokoi Shigeaki, Ehara Hidetoshi, Shinoda Ikuo, Deguchi Takashi
机构信息
The Department of Urology, Gifu University, Graduate School of Medicine.
出版信息
Hinyokika Kiyo. 2007 Feb;53(2):117-9.
A 56-year-old Japanese man consulted a urologist because of urethral bleeding. He had been undergoing hemodialysis for the past 15 years due to polycystic kidney disease. Computed tomography revealed an irregular cyst wall in the left kidney. Since a neoplasm could not be ruled out, we removed the left kidney, by laparoscopic radical nephrectomy after obtaining the patient's consent. Histopathologic diagnosis was renal cell carcinoma. Fourteen months after the operation, urethral bleeding recurred. Further examination of the bladder and the urethra revealed no significant abnormalities. The patient insisted on right nephrectomy. Therefore, laparoscopic radical nephrectomy was performed. Histopathologic diagnosis was also renal cell carcinoma. Renal cell carcinoma in patients with end-stage renal disease is fairly common and is associated with acquired cystic kidney disease. However, renal cell carcinoma associated with polycystic kidney disease is extremely rare.
一名56岁的日本男性因尿道出血咨询了泌尿科医生。由于多囊肾病，他在过去15年里一直接受血液透析。计算机断层扫描显示左肾囊肿壁不规则。由于不能排除肿瘤，在获得患者同意后，我们通过腹腔镜根治性肾切除术切除了左肾。组织病理学诊断为肾细胞癌。术后14个月，尿道出血复发。对膀胱和尿道的进一步检查未发现明显异常。患者坚持进行右肾切除术。因此，实施了腹腔镜根治性肾切除术。组织病理学诊断同样为肾细胞癌。终末期肾病患者中的肾细胞癌相当常见，且与获得性肾囊肿病相关。然而，与多囊肾病相关的肾细胞癌极为罕见。
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