Department of Organ-oriented Medicine, University of the Ryukyus, Okinawa 903-0215, Japan.
J Pediatr Surg. 2009 Dec;44(12):e5-7. doi: 10.1016/j.jpedsurg.2009.08.022.
We report a 12-year-old girl with renal cell carcinoma originating in a cyst of the left kidney. Ultrasonography revealed 2 small hyperechoic masses in the luminal side of a cyst. Although hypervascularity was not detected in the cyst by computed tomography, the possibility of malignancy could not be ruled out because of the presence of 2 solid masses. Therefore, partial left nephrectomy was performed. On histopathologic examination, the 2 solid masses within the cyst were found to be renal cell carcinoma. This patient remains disease-free at 4 years after partial nephrectomy.
我们报告了一例 12 岁女孩,其左肾的囊肿中发生了肾细胞癌。超声检查显示囊肿腔内有 2 个小的高回声肿块。虽然计算机断层扫描未发现囊肿内有丰富的血管,但由于存在 2 个实性肿块,不能排除恶性肿瘤的可能性。因此,进行了部分左肾切除术。组织病理学检查发现,囊肿内的 2 个实性肿块为肾细胞癌。该患者在部分肾切除术后 4 年无疾病复发。