Kim C J, Pak K, Tomoyoshi T, Nakajima Y
Department of Urology, Shiga University of Medical Science.
Hinyokika Kiyo. 1991 Feb;37(2):163-7.
We report a case of multilocular cystic renal cell carcinoma seen in a 54-year-old man. At the annual health check he was found to have numerous cysts of various sizes in the lower pole of the left kidney. Plain CT scan disclosed a mass in the lower pole of the left kidney. On enhanced CT scan septa were visible, suggesting a multilocular cyst. Left renal arteriography disclosed a hypervascular mass in the lower pole of the left kidney. Radical nephrectomy was performed. The gross appearance of the cut surface showed a feature of multilocular cyst. The histopathological diagnosis was clear cell carcinoma. We describe the clinical features of multilocular cystic renal cell carcinoma and discuss the differential diagnosis.
我们报告一例54岁男性的多房性囊性肾细胞癌病例。在年度健康检查时,发现他左肾下极有许多大小各异的囊肿。CT平扫显示左肾下极有一肿块。增强CT扫描可见分隔,提示为多房性囊肿。左肾动脉造影显示左肾下极有一高血运肿块。遂行根治性肾切除术。切面大体外观呈现多房性囊肿特征。组织病理学诊断为透明细胞癌。我们描述了多房性囊性肾细胞癌的临床特征并讨论了鉴别诊断。