Department of Radiology, Chiang Mai University, 110 Intavaroros Road, Amphoe Muang, Chiang Mai 50200, Thailand.
Singapore Med J. 2011 May;52(5):384-7; quiz 388.
A 45-year-old man presented with right flank pain and haematuria for one month. Computed tomography showed a large, well-circumscribed exophytic complex cystic mass with enhanced, irregular thickened walls arising from the upper pole of the right kidney, which was associated with bilateral renal stones. Partial right nephrectomy with removal of the right renal stones was performed. Histopathology revealed papillary cell carcinoma confined to the kidney. The patient made good postoperative recovery. The Bosniak classification system of renal cystic lesions and cystic renal cell carcinoma are discussed. Various cases of renal cystic lesions and cystic renal cell carcinoma are shown.
一位 45 岁男性因右侧腰痛和血尿 1 个月就诊。计算机断层扫描显示右肾上极有一个大的、边界清楚的外生性复杂囊性肿块，增强后不规则增厚的壁，伴有双侧肾结石。行部分右肾切除术并取出右肾结石。组织病理学显示局限于肾脏的乳头状细胞癌。患者术后恢复良好。讨论了肾脏囊性病变和囊性肾细胞癌的 Bosniak 分类系统。展示了各种肾脏囊性病变和囊性肾细胞癌的病例。
