Hsiao Hsi-Lin, Yeh Hsin-Chih, Chang Tu-Hao, Ke Hung-Lung, Lin Han-Ching, Wu Wen-Jeng, Huang Chun-Hsiung, Lee Yung-Chin
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2008 Mar;24(3):157-62. doi: 10.1016/S1607-551X(08)70144-X.
The simultaneous occurrence of renal collecting duct (Bellini duct) carcinoma and bladder urothelial carcinoma is very rare. A 68-year-old female patient with bladder urothelial carcinoma first received transurethral resection of the tumor. Left side nephrouretectomy and transurethral resection of the intramural ureter were performed 8 months later under the diagnosis of concomitant renal pelvic urothelial carcinoma. However, the final pathologic examination revealed collecting duct carcinoma. The patient received systemic chemotherapy after surgery, but distant metastasis was noted 6 months later. Here, we report a rare case of combined renal collecting duct carcinoma and bladder urothelial carcinoma confirmed by pathologic examination and immunohistochemical staining.
肾集合管(乳头管)癌与膀胱尿路上皮癌同时发生的情况非常罕见。一名68岁患有膀胱尿路上皮癌的女性患者首先接受了经尿道肿瘤切除术。8个月后,在诊断为合并肾盂尿路上皮癌的情况下,进行了左侧肾输尿管切除术和壁内段输尿管经尿道切除术。然而,最终病理检查显示为集合管癌。患者术后接受了全身化疗,但6个月后出现远处转移。在此,我们报告一例经病理检查和免疫组化染色确诊的肾集合管癌与膀胱尿路上皮癌合并的罕见病例。