Kagota Masayo, Irie Kyoko, Hosaka Kyoko, Takezaki Tohru
Department of Urology, Yamanashi Prefectural Central Hospital.
Hinyokika Kiyo. 2007 Aug;53(8):571-4.
A 78-year-old man underwent left total nephroureterectomy, and histopathological examination revealed renal cell carcinoma (RCC) of clear cell subtype. Multiple lung metastases were observed, and immunotherapy using IFN-alpha was introduced after the operation. Gross hematuria was seen 1 year after the operation, and cystoscopy revealed a submucosal tumor in the bladder. Transurethral resection of the tumor was performed, and pathological diagnosis was metastasis from the RCC. Six months later, he died because of multiple metastases of the tumor. Thirty cases of metastasis of RCC to the bladder, including our case, have been reported in Japan.
一名78岁男性接受了左肾输尿管全切术,组织病理学检查显示为透明细胞亚型肾细胞癌(RCC)。术后观察到多发肺转移,遂采用α干扰素进行免疫治疗。术后1年出现肉眼血尿,膀胱镜检查发现膀胱黏膜下肿瘤。行经尿道肿瘤切除术,病理诊断为RCC转移。6个月后,患者因肿瘤多发转移死亡。在日本,包括我们的病例在内,已有30例RCC转移至膀胱的病例报告。