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[小肾癌伴胰腺转移:一例报告]

[Small renal cell carcinoma with pancreas metastasis: a case report].

作者信息

Masago Toshihiko, Watanabe Takeshi, Nemoto Ryousuke

机构信息

The Department of Urology, Tottori Prefectural Central Hospital.

出版信息

Hinyokika Kiyo. 2011 Nov;57(11):607-10.

Abstract

A 53-year-old-man was treated in the Department of Surgery for a pancreatic tumor because asymptomatic, nodular masses, 4 cm-in diameter were discovered in the tail of the pancreas on computed tomography (CT). The pancreatic masses were metastases of renal cell carcinoma on pathological examination. Contrast-enhanced CT and abdominal magnetic resonance imaging showed a small, 1.3 cmdiameter mass in the right kidney. The size of the renal tumor was small, but it appeared to have high malignancy because of spread to the pancreas. We chose radical nephrectomy in consideration of intrarenal spread of carcinoma. The resected specimen was diagnosed pathologically as clear cell carcinoma, G2> G1, pT1apN0M0, exp, INFα, v (-), ly (-). At follow-up one year after surgery, there was no evidence of recurrence.

摘要

一名53岁男性因胰腺肿瘤在外科接受治疗。计算机断层扫描(CT)发现胰腺尾部有直径4厘米的无症状结节性肿块。病理检查显示胰腺肿块为肾细胞癌转移灶。增强CT和腹部磁共振成像显示右肾有一个直径1.3厘米的小肿块。肾肿瘤体积较小,但因已扩散至胰腺,似乎具有较高的恶性程度。考虑到癌在肾内的扩散,我们选择了根治性肾切除术。切除标本经病理诊断为透明细胞癌,G2>G1,pT1apN0M0,exp,INFα,v(-),ly(-)。术后一年随访时,无复发迹象。

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