Department of Nephrology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Rheumatol Int. 2009 Nov;30(1):119-21. doi: 10.1007/s00296-009-0911-x.
Development of uroepithelial tumors after cyclophosphamide and azathioprine therapy in Wegener's granulomatosis (WG) have been reported in the literature but renal cell carcinoma (RCC), rarely. RCC associated with WG has been previously reported in a few cases. Most of them have simultaneous diseases. Here, we report a case, which developed RCC 8 years after initiation of WG. Long-term immunosuppressive treatment is a risk factor for the development of malignancies; it should be suggested that RCC in our patient might be due to immunosuppressive therapy.
已有文献报道,在韦格纳肉芽肿(WG)患者接受环磷酰胺和硫唑嘌呤治疗后会发生尿路上皮肿瘤,但发生肾细胞癌(RCC)的情况较为罕见。WG 相关的 RCC 此前也有少数病例报道。其中大多数患者还同时患有其他疾病。在此,我们报告一例患者,在 WG 发病 8 年后发生 RCC。长期免疫抑制治疗是发生恶性肿瘤的一个危险因素;我们推测,本例患者的 RCC 可能与免疫抑制治疗有关。