Westermann D H, Rüdiger T, Lohe B, Frohneberg D
Urologische Klinik, Städtisches Klinikum Karlsruhe, Moltkestraße 90, 76133, Karlsruhe, Deutschland.
Urologe A. 2010 Dec;49(12):1527-31. doi: 10.1007/s00120-010-2427-0.
We report on a rare case of bilateral oncocytic kidney tumors in a patient with Birt-Hogg-Dubé syndrome (BHD). BHD is an autosomal inherited cancer syndrome associated with multiple kidney tumors, benign cutaneous tumors, and pulmonary cysts with spontaneous pneumothorax. To date about 50 BHD families have been described. Patients are best treated with nephron-sparing surgery. Close follow-up is mandatory because recurrence in previously operated kidneys and metastatic tumor progression can occur. Family members at risk should also early be screened for BHD.
我们报告了一例患有Birt-Hogg-Dubé综合征(BHD)的患者出现双侧嗜酸性肾肿瘤的罕见病例。BHD是一种常染色体遗传性癌症综合征,与多发性肾肿瘤、良性皮肤肿瘤以及伴有自发性气胸的肺囊肿相关。迄今为止,已描述了约50个BHD家族。对患者最好采用保留肾单位手术进行治疗。必须进行密切随访,因为先前手术过的肾脏可能会复发,且肿瘤可能会发生转移进展。有风险的家庭成员也应尽早接受BHD筛查。