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一种不常见的嫌色细胞肾细胞癌病例:计算机断层扫描图像显示下腔静脉血栓形成和肝转移,而肾脏内无明显肿块。

An unusual case of chromophobe RCC: presented with an inferior vena cava thrombus and liver metastases and no discernible mass within the kidney on computerized tomography images.

机构信息

Department of Radiology, Changhai Hospital, Second Military Medical University, Shanghai, China.

出版信息

Urology. 2012 Oct;80(4):e47-8. doi: 10.1016/j.urology.2012.05.034. Epub 2012 Aug 28.

DOI:10.1016/j.urology.2012.05.034
PMID:22951006
Abstract

A 57-year-old female with fatigue presented to our hospital. High-quality contrasted abdominal computerized tomography images demonstrated extensive filling defect within the left renal vein and the inferior vena cava and an enhancing hepatic mass with no obvious mass lesion in the left kidney. The patient underwent a total resection of the left kidney and venous thrombectomy by open surgery; intraoperative hepatic mass biopsy with frozen section confirmed a metastatic disease and right hepalobectomy was conducted in one surgical session. Histopathologic examination revealed a lesion of chromophobe renal cell carcinoma within the left kidney.

摘要

一位 57 岁女性因疲劳就诊于我院。高质量对比增强腹部计算机断层扫描图像显示左肾静脉和下腔静脉内广泛充盈缺损,肝内肿块增强且左肾内未见明显肿块病变。患者接受了开放手术左肾全切和静脉取栓术;术中肝肿块活检行冰冻切片检查证实为转移病变,并在一次手术中进行了右肝叶切除术。组织病理学检查显示左肾的嫌色细胞肾细胞癌病变。

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