Satake Naoya, Ohno Yoshio, Yoshioka Kunihiko, Sakamoto Noboru, Takeuchi Hisashi, Tachibana Masaaki
Department of Urology, Tokyo Medical University.
Nihon Hinyokika Gakkai Zasshi. 2009 Mar;100(3):495-9. doi: 10.5980/jpnjurol.100.495.
Skeletal muscle metastasis is a rare event in renal cell carcinoma (RCC). Only thirty-two cases have been reported until now. A 69-year-old female had a nephrectomy for right RCC (clear cell carcinoma, grade 2, pT1) in 1994. She has been followed up every three months after nephrectomy. After twelve years from nephrectomy, computed tomography (CT) showed a 3 cm mass in the right iliopsoas muscle. CT guided needle biopsy revealed tumor cells suspicious of renal cell carcinoma metastasis. The tumor was surgically removed and histologically diagnosed as renal cell carcinoma metastasized to the iliopsoas muscle.
骨骼肌转移在肾细胞癌(RCC)中是一种罕见事件。到目前为止,仅报道了32例。一名69岁女性于1994年因右肾细胞癌(透明细胞癌,2级,pT1)接受了肾切除术。肾切除术后她每三个月接受一次随访。肾切除术后12年,计算机断层扫描(CT)显示右髂腰肌有一个3厘米的肿块。CT引导下针吸活检显示肿瘤细胞怀疑为肾细胞癌转移。肿瘤通过手术切除,组织学诊断为转移至髂腰肌的肾细胞癌。