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慢性头痛作为未确诊肾细胞癌的首发症状。

Chronic headache as the first symptom of an undiagnosed renal cell carcinoma.

作者信息

Moslemi Mohammad Kazem, Abedinzadeh Mehdi

机构信息

Department of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Qom.

出版信息

Case Rep Oncol. 2011 Sep;4(3):576-82. doi: 10.1159/000335217. Epub 2011 Dec 7.

DOI:10.1159/000335217
PMID:22220153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3251248/
Abstract

Renal cell carcinoma (RCC) is an uncommon tumor that rarely metastasizes primarily to the brain. Brain metastases are commonly observed in patients with metastatic RCC, with a reported incidence of 2-17%. The prognosis of brain metastatic RCC is poor. In this carcinoma type, the source is commonly evident. We report a case of a patient with undiagnosed incidental RCC, who presented chronic headache as the first manifestation.

摘要

肾细胞癌(RCC)是一种罕见的肿瘤,很少会首先转移至脑部。脑转移在转移性肾细胞癌患者中较为常见,报道的发生率为2%-17%。肾细胞癌脑转移的预后较差。在这种癌症类型中,来源通常很明显。我们报告一例未被诊断出的偶然发现的肾细胞癌患者,其首发表现为慢性头痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/4fd5a8eccbbc/cro0004-0576-f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/0e0c78f2983d/cro0004-0576-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/4205f80b6329/cro0004-0576-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/0b322270db06/cro0004-0576-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/6cecda268224/cro0004-0576-f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/4fd5a8eccbbc/cro0004-0576-f05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/0e0c78f2983d/cro0004-0576-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/4205f80b6329/cro0004-0576-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/0b322270db06/cro0004-0576-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/6cecda268224/cro0004-0576-f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/3251248/4fd5a8eccbbc/cro0004-0576-f05.jpg

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本文引用的文献

1
Severe Dyspnea due to Pulmonary Metastasis of Renal Cell Carcinoma: Is Cytoreductive Surgery of Value?肾细胞癌肺转移所致严重呼吸困难:减瘤手术有价值吗?
Case Rep Oncol. 2010 Sep 28;3(3):339-43. doi: 10.1159/000321263.
2
Tumour location as a predictor of benign disease in the management of renal masses.肿瘤位置作为肾肿块管理中良性疾病的预测指标。
Can Urol Assoc J. 2010 Dec;4(6):414-7. doi: 10.5489/cuaj.10060.
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Renal Cell Carcinoma with Simultaneous Bilateral Adrenal Metastasis: Ipsilateral Radical Nephrectomy with Contralateral Adrenal Preservation.
肾细胞癌伴双侧肾上腺同时转移:患侧根治性肾切除术并保留对侧肾上腺
Case Rep Oncol. 2010 Oct 19;3(3):372-379. doi: 10.1159/000321717.
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Role of surgery in advanced/metastatic renal cell carcinoma.手术在晚期/转移性肾细胞癌中的作用。
Indian J Urol. 2010 Apr;26(2):167-76. doi: 10.4103/0970-1591.65381.
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Renal cell carcinoma mimicking adrenal tumor.肾细胞癌酷似肾上腺肿瘤。
J Oncol. 2010;2010. doi: 10.1155/2010/987128. Epub 2010 Aug 23.
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Extracerebral metastases determine the outcome of patients with brain metastases from renal cell carcinoma.脑外转移决定了肾细胞癌脑转移患者的预后。
BMC Cancer. 2010 Sep 7;10:480. doi: 10.1186/1471-2407-10-480.
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Successful treatment of a brain-metastasized renal cell carcinoma.脑转移肾细胞癌的成功治疗。
Ger Med Sci. 2009 Oct 21;7:Doc28. doi: 10.3205/000087.
8
Brain metastasis from renal cell carcinoma: presentation, recurrence, and survival.肾细胞癌脑转移:临床表现、复发及生存情况
Cancer. 2008 Oct 1;113(7):1641-8. doi: 10.1002/cncr.23769.
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Renal-cell carcinoma.肾细胞癌
N Engl J Med. 2005 Dec 8;353(23):2477-90. doi: 10.1056/NEJMra043172.
10
Solitary brain metastasis from renal cell carcinoma 15 years after nephrectomy: case report.肾切除术后15年发生的孤立性肾细胞癌脑转移:病例报告
Neurol Med Chir (Tokyo). 2005 Aug;45(8):423-7. doi: 10.2176/nmc.45.423.