Fullarton G M, Burgoyne M
Department of Surgery, Stirling Royal Infirmary, Glasgow, Scotland.
Urology. 1991 Aug;38(2):184-6. doi: 10.1016/s0090-4295(05)80084-6.
A case of bilateral metachronous renal cell carcinoma with gallbladder and pancreatic metastases, presenting with hematobilia and anemia is presented. The presentation of metastatic renal cell carcinoma with hematobilia and anemia is previously unreported. This case illustrates (1) the occasionally very long interval between metachronous renal carcinoma; (2) this tumor's propensity to unusual metastases and unpredictable presentation; and (3) the significant palliation which may be achieved by appropriate surgical resection of these metastases.
本文报告一例双侧异时性肾细胞癌伴胆囊和胰腺转移，表现为胆道出血和贫血。异时性转移性肾细胞癌伴胆道出血和贫血的表现此前未见报道。该病例说明：（1）异时性肾癌之间偶尔间隔时间很长；（2）这种肿瘤易于发生不寻常转移且表现不可预测；（3）对这些转移灶进行适当手术切除可实现显著的病情缓解。
