一例罕见的同步性肾上腺皮质癌和肾细胞癌病例。

A rare case of synchronous adrenocortical carcinoma and renal cell carcinoma.

作者信息

Majhi Urmila, Murhekar Kanchan M, Reddy Mahendranath P, Narayanaswamy Kathiresan

机构信息

Department of Pathology, Cancer Institute (WIA), Chennai, Tamil Nadu, India.

出版信息

Indian J Endocrinol Metab. 2011 Jul;15(3):214-6. doi: 10.4103/2230-8210.83409.

DOI:10.4103/2230-8210.83409

PMID:21897901

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3156544/

Abstract

We present here a rare case of synchronous adrenocortical carcinoma (ACC) and renal cell carcinoma (RCC). A 27-year-old woman presented with gradual abdominal distension, hematuria, and loss of weight of 3-months duration. She gave a history of treatment for hypertension. The computed axial tomography (CT) scan revealed a large retroperitoneal mass. Her urinary VMA was slightly elevated. Her 24-h urinary metanephrine level was normal. The patient underwent left adrenalectomy, left nephrectomy, spleenectomy, and distal pancreactomy with segmental colonic resection. Postoperative pathology revealed ACC of left suprarenal measuring 22 × 19 × 18 cm(3) and RCC involving the left upper pole of kidney measuring 3 × 2 × 1 cm(3).

摘要

我们在此呈现一例罕见的同步性肾上腺皮质癌（ACC）和肾细胞癌（RCC）病例。一名27岁女性，出现渐进性腹胀、血尿，病程3个月，体重减轻。她有高血压治疗史。计算机断层扫描（CT）显示腹膜后有一个大肿块。她的尿香草扁桃酸（VMA）略有升高。她的24小时尿间甲肾上腺素水平正常。患者接受了左肾上腺切除术、左肾切除术、脾切除术以及远端胰腺切除术并进行了节段性结肠切除术。术后病理显示左肾上腺ACC，大小为22×19×18 cm³，肾细胞癌累及左肾上极，大小为3×2×1 cm³。