Taniguchi M, Nagai T, Takeda A, Shinoda T, Harada Y, Takahashi Y, Kuriyama M, Kawada Y
Department of Urology, Takayama Red Cross Hospital.
Hinyokika Kiyo. 1991 Jul;37(7):733-7.
A case of ipsilateral transitional cell carcinoma of left renal pelvis and left-renal cell carcinoma is presented. A 75-year-old male consulted our hospital with the complaint of painless gross-hematuria which had persisted for four years. Excretory urography revealed left non-visualized kidney. Retrograde pyelography demonstrated the filling defect, which had an irregular border, in the left renal pelvis. The selective left renal arteriography revealed the hypervascular region in the left renal cortex. Intraarterial chemotherapy with CDDP, MTX and ADR was performed preoperatively. Then, total left nephroureterectomy and segmental resection of the bladder was done. The surgical specimen was pathologically diagnosed as transitional cell carcinoma of the renal pelvis and renal cell carcinoma of the left kidney. This case is the 23rd reported case of ipsilateral synchronous renal malignancy in Japan.
本文报告一例左肾盂移行细胞癌合并左肾细胞癌的病例。一名75岁男性因无痛性肉眼血尿持续四年前来我院就诊。排泄性尿路造影显示左肾不显影。逆行肾盂造影显示左肾盂内有边界不规则的充盈缺损。选择性左肾动脉造影显示左肾皮质有高血运区域。术前进行了顺铂、甲氨蝶呤和阿霉素的动脉内化疗。然后，进行了左肾输尿管全切术和膀胱部分切除术。手术标本经病理诊断为肾盂移行细胞癌和左肾细胞癌。该病例是日本第23例报告的同侧同步性肾恶性肿瘤病例。
