Division of Urology, Department of Surgery, Cook County Health and Hospitals System, John H. Stroger, Jr Hospital of Cook County, Chicago, Illinois 60612, USA.
Urology. 2010 Dec;76(6):1377-8. doi: 10.1016/j.urology.2009.11.054. Epub 2010 Mar 5.
Renal cell carcinoma (RCC) has been well described for its frequency to metastasize. Cutaneous facial lesions as the primary presentation of RCC is, however, extremely rare. We present clinical, radiographic, and histologic images of a 40-year-old man who presented with a cutaneous facial lesion that was diagnosed as metastatic RCC after excisional biopsy. A subsequent computed tomography demonstrated a small mass (3.5 × 2.6 cm) in the midpole of the right kidney. Partial nephrectomy with histologic analysis confirmed RCC, clear cell type.
肾细胞癌 (RCC) 以其转移的频率而被很好地描述。然而，以皮肤面部病变为主要表现的 RCC 极其罕见。我们呈现了一位 40 岁男性的临床、影像学和组织学图像，他因皮肤面部病变就诊，经切除活检后诊断为转移性 RCC。随后的计算机断层扫描显示右肾中极有一个小肿块 (3.5×2.6cm)。部分肾切除术和组织学分析证实为 RCC，透明细胞型。
