Toquero Lawrence, Aboumarzouk Omar M, Abbasi Zahir
Surgical Department, Chesterfield Royal Hospital, Chesterfield Road, Chesterfield, S44 5BL, UK.
Cases J. 2009 Jul 14;2:7472. doi: 10.4076/1757-1626-2-7472.
A 54-year-old woman referred to a specialist unit for weight loss, lethargy, and a palpable pelvic mass. Thought to have ovarian cancer metastasized to the kidney, underwent a left nephrectomy and para-aortic clearance, with a total abdominal hysterectomy and bilateral salpingo-oophorectomy with peritoneal biopsies. Histology proved it was actually a renal cell carcinoma metastasized to the ovaries. During further follow ups she had developed bone and pulmonary metastasis and died shortly after the diagnosis of metastasis. With only 14 reported cases in the literature increased awareness would aid management of similar cases.
一名54岁女性因体重减轻、乏力及可触及的盆腔肿块被转诊至专科单位。最初认为是卵巢癌转移至肾脏，遂行左肾切除术及腹主动脉旁清扫术，同时行全腹子宫切除术、双侧输卵管卵巢切除术及腹膜活检。组织学检查证实实际上是肾细胞癌转移至卵巢。在进一步随访期间，她出现了骨转移和肺转移，并在转移诊断后不久死亡。文献中仅报道了14例此类病例，提高认识将有助于类似病例的管理。
