Fukata Satoshi, Karashima Takashi, Toi Makoto, Kuroda Naoto, Shuin Taro
Department of Urology, Kochi University School of Medicine.
Hinyokika Kiyo. 2010 Apr;56(4):221-3.
In Feb 2009, a-54-year-old female complained of left flank pain and macrohematuria. Computed tomography (CT) demonstrated the left renal tumor. In Mar 2009, she was referred to our hospital. On physical examination a hard mass was found in her left abdomen. CT demonstrated the left renal tumor and tumor thrombus of left renal vein, but we did not detect any remarkable metastasis in other organs. Thus, we performed left radical nephrectomy. The pathologic finding was renal cell carcinoma (RCC) with rhabdoid features and sarcomatoid change. Eight months postoperatively, she is alive without evidence of recurrence and metastasis. RCC with rhabdoid features and sarcomatoid change is rare. We discuss this case, and review the literature.
2009年2月，一名54岁女性主诉左侧腰痛及肉眼血尿。计算机断层扫描（CT）显示左肾肿瘤。2009年3月，她转诊至我院。体格检查发现其左腹部有一硬块。CT显示左肾肿瘤及左肾静脉瘤栓，但未发现其他器官有明显转移。因此，我们实施了左肾根治性切除术。病理结果为具有横纹肌样特征和肉瘤样改变的肾细胞癌（RCC）。术后8个月，她存活且无复发和转移迹象。具有横纹肌样特征和肉瘤样改变的RCC较为罕见。我们讨论此病例并复习相关文献。
