Yamamichi Fukashi, Yoshiyuki Kazuma, Yamada Yuji, Hamami Gaku
Department of Urology, Hyogo Prefectural Amagasaki Hospital.
Hinyokika Kiyo. 2008 Sep;54(9):607-10.
We describe a case of bilateral renal cell carcinoma with the tumor thrombus in the inferior vena cava. A 71-year-old male was admitted to our department for, careful examination of bilateral renal tumors. Abdominal computed tomography (CT) revealed bilateral solid enhanced renal masses with the tumor thrombus in the inferior vena cava (IVC) and the left renal vein. The renal tumor did not reveal distant metastatic lesions. We enforced two-term operation for bilateral renal tumor. First, right nephrectomy and tumor thrombectomy in the IVC were performed. On the 32th day after the first operation, we performed left nephrectomy. On the second day after the last operation, the patient received hemodialysis. The histopathological diagnosis revealed bilateral renal cell carcinomas. At 9 months after the last operation, the patient had multiple bone metastases, multiple liver metastases and multiple lung metastases.
我们描述了一例伴有下腔静脉肿瘤血栓的双侧肾细胞癌病例。一名71岁男性因双侧肾肿瘤的仔细检查而入住我科。腹部计算机断层扫描（CT）显示双侧实性强化肾肿块，下腔静脉（IVC）和左肾静脉有肿瘤血栓。肾肿瘤未发现远处转移病灶。我们对双侧肾肿瘤实施了两期手术。首先，进行了右肾切除术和下腔静脉肿瘤血栓切除术。在第一次手术后第32天，我们进行了左肾切除术。最后一次手术后第二天，患者接受了血液透析。组织病理学诊断显示为双侧肾细胞癌。在最后一次手术后9个月，患者出现多处骨转移、多处肝转移和多处肺转移。
