Okasho Kosuke, Nishiyama Hiroyuki, Watanabe Jun, Soda Takeshi, Mikami Yoshiki, Koyama Takashi, Kamoto Toshiyuki, Ogawa Osamu
Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Urology. 2008 Nov;72(5):1185.e5-7. doi: 10.1016/j.urology.2008.01.036. Epub 2008 Mar 10.
An 84-year-old man was referred to our hospital with gross hematuria. Abdominal computed tomography demonstrated a well-circumscribed enhanced mass in the right pelviureteral junction. Retroperitoneoscopic nephroureterectomy was performed because of a clinical diagnosis of renal pelvic carcinoma. Pathologic examination led to a final diagnosis of an adult Wilms tumor arising from the renal pelvis. This is the first report of a Wilms tumor in the renal pelvis of an adult patient.
一名84岁男性因肉眼血尿被转诊至我院。腹部计算机断层扫描显示右肾盂输尿管交界处有一个边界清晰的强化肿块。由于临床诊断为肾盂癌,遂行后腹腔镜肾输尿管切除术。病理检查最终诊断为起源于肾盂的成人威尔姆斯瘤。这是首例关于成年患者肾盂威尔姆斯瘤的报道。