Moslemi Mohammad Kazem, Hosseini Seiied Jalal Esshagh, Firoozabadi Mohammad Hasan Dehghani
Department of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Yazd, Iran.
Case Rep Oncol. 2010 Sep 11;3(3):326-333. doi: 10.1159/000320941.
The clinical diagnosis of renal cell carcinoma (RCC) is radiographic. Effective imaging of the kidneys can be achieved by ultrasound, CT or MRI [Chawla et al.: J Urol 2006;175:425-431]. Solid lesions detected by ultrasound and those showing enhancement on cross-sectional imaging are considered malignant until proven otherwise. The standard of care for clinically localized RCC remains surgical resection due to the favorable prognosis associated with surgery and the relative ineffectiveness of systemic therapy. Since patients with localized RCC are often symptom-free, they sometimes refuse to receive surgical treatment or are left untreated based on a diagnosis of benign lesions. There are also cases where an RCC is relatively large and causes symptoms but is not treated surgically because of complications and other reasons. We report a 54-year-old male who underwent a difficult radical nephrectomy 9 years after the primary RCC malignancy diagnosis.
肾细胞癌（RCC）的临床诊断依靠影像学检查。肾脏的有效成像可通过超声、CT或MRI实现[Chawla等人：《泌尿外科杂志》2006年；175：425 - 431]。超声检测到的实性病变以及在横断面成像上显示强化的病变，在未被证伪之前均被视为恶性。鉴于手术预后良好且全身治疗相对无效，临床局限性RCC的标准治疗方法仍是手术切除。由于局限性RCC患者通常无症状，他们有时会拒绝接受手术治疗，或者基于良性病变的诊断而未接受治疗。也有一些病例，RCC相对较大并引起症状，但由于并发症和其他原因未接受手术治疗。我们报告一名54岁男性，在原发性RCC恶性肿瘤诊断9年后接受了困难的根治性肾切除术。
