Khan Muhammad A A, Kar Ashok, Walker Marjorie M, Lloyd Jo, Vale Justin A, Mayer Erik K
Department of Urology, Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed Street, London W2 1NY, UK.
Case Rep Oncol Med. 2012;2012:352401. doi: 10.1155/2012/352401. Epub 2012 Dec 19.
A 72-year-old man presented with painless frank haematuria. Investigations included intravenous urogram and abdominal/pelvic CT which revealed a marked focal thickening of the wall of the inferior aspect of the left renal pelvis extending into the lower pole calyx and into the pelviureteric junction resulting in left hydronephrosis. Urine cytology demonstrated clusters of malignant keratinised squamous cells and schistosome ova. He underwent left laparoscopic radical nephroureterectomy and histology revealed moderately differentiated keratinising squamous cell carcinoma in the renal pelvis.
一名72岁男性出现无痛性肉眼血尿。检查包括静脉肾盂造影和腹部/盆腔CT,结果显示左肾盂下部壁明显局限性增厚,延伸至下极肾盏及肾盂输尿管连接处,导致左肾积水。尿细胞学检查发现恶性角化鳞状细胞簇和血吸虫卵。他接受了左侧腹腔镜根治性肾输尿管切除术,组织学检查显示肾盂为中度分化的角化鳞状细胞癌。