Spajić Borislav, Grubisić Igor, Spajić Marija, Marusić Zlatko, Demirović Alma, Mijić August, Kruslin Bozo, Tomas Davor
University Department of Urology, Sestre milosrdnice University Hospital, Zagreb, Croatia.
Acta Clin Croat. 2010 Jun;49(2):169-72.
A 69-year-old man was admitted for resection of rectal adenocarcinoma diagnosed by colonoscopy. Preoperative computed tomography scan and abdominal ultrasonography revealed bilateral renal tumors measuring up to 2 and 2.8 cm in largest diameter, respectively. The patient underwent partial colectomy and bilateral partial nephrectomy. Microscopically, rectal adenocarcinoma penetrated the submucosa, without invasion of the muscularis propria. Both renal tumors were clear cell renal carcinomas of Fuhrmann nuclear grade 2. To our knowledge, this is the first case of synchronous adenocarcinoma of the rectum and bilateral clear cell renal cell carcinoma described in the literature to date.
一名69岁男性因结肠镜检查诊断为直肠腺癌入院接受切除术。术前计算机断层扫描和腹部超声检查显示双侧肾肿瘤，最大直径分别达2厘米和2.8厘米。患者接受了部分结肠切除术和双侧部分肾切除术。显微镜下，直肠腺癌穿透黏膜下层，未侵犯固有肌层。两个肾肿瘤均为Fuhrmann核分级2级的透明细胞肾细胞癌。据我们所知，这是迄今为止文献中描述的首例直肠腺癌与双侧透明细胞肾细胞癌同时发生的病例。
