Mathai Alka Mary, Rau Aarthi R, Shetty Ashoke B, Kamath M Panduranga, Prasad Sampath Chandra
Department of Pathology, Kasturba Medical College, Mangalore, Karnataka.
Indian J Pathol Microbiol. 2007 Apr;50(2):379-81.
A 46-year-old man had primary pulmonary symptoms of intermittent fever, cough and dyspnoea. Radiological investigations revealed a mass at right hilum with right upper lobe collapse. Bronchoscopy showed a luminal mass of which the biopsy showed a tumour with predominantly clear cell change. Subsequent investigations revealed primary renal adenocarcinoma. The differential diagnosis of clear cell lung tumour is discussed. This case of endobronchial metastasis from renal cell carcinoma is being presented because of its rarity.
一名46岁男性出现间歇性发热、咳嗽和呼吸困难等原发性肺部症状。影像学检查显示右肺门有一肿块,伴右上叶肺不张。支气管镜检查发现腔内肿块,活检显示肿瘤主要为透明细胞改变。后续检查发现原发性肾腺癌。本文讨论了透明细胞肺肿瘤的鉴别诊断。由于肾细胞癌支气管内转移病例罕见,故报道此例。