Sakata Ryoko, Iwasaki Akira, Kobayashi Masataka, Osaka Kimito, Fujikawa Atsushi, Tsuchiya Futoshi, Ishizuka Eiichi
The Department of Urology, Yokohama City minato Red Cross Hospital.
Hinyokika Kiyo. 2011 Dec;57(12):683-7.
We report a case of renal metastases from prostate cancer to show that the possibility of tumor metastasis, although rare, should be considered in the differential diagnosis of renal mass. A 67-year-old man was found to have a renal mass on computed tomographic scan incidentally. He had had total androgen blockage (bicalutamide + leuprolerin) and chemotherapy (docetaxel hydrate ) for treatment of prostate cancer discovered 33 months ago. On the basis of the clinical features and radiologic results, the patient was thought to have a second malignant tumor, and we performed left nephrectomy. The pathological finding of this case was renal metastasis from prostatic adenocarcinoma. He died 18 months postnephrectomy.
我们报告一例前列腺癌肾转移病例，以表明尽管肿瘤转移的可能性很小，但在肾肿块的鉴别诊断中应考虑到这种可能性。一名67岁男性在计算机断层扫描时偶然发现有一个肾肿块。他在33个月前被诊断出患有前列腺癌，曾接受过全雄激素阻断治疗（比卡鲁胺+亮丙瑞林）和化疗（多西他赛）。根据临床特征和影像学检查结果，该患者被认为患有第二种恶性肿瘤，于是我们为其实施了左肾切除术。该病例的病理检查结果为前列腺腺癌肾转移。肾切除术后18个月，他去世了。
