经皮活检通道的肾细胞癌种植
Renal cell carcinoma seeding of a percutaneous biopsy tract.
作者信息
Mullins Jeffrey K, Rodriguez Ronald
机构信息
James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD.
出版信息
Can Urol Assoc J. 2013 Mar-Apr;7(3-4):E176-9. doi: 10.5489/cuaj.499.
Abstract
We report the case of a 68-year-old male with extension of papillary renal cell carcinoma (Fuhrman grade III) along a percutanous biopsy tract detected at the time of partial nephrectomy. Biopsy was performed to a obtain tissue diagnosis of a complex renal cyst as the patient was unable to receive intravenous contrast for imaging due to a severe allergy. Although biopsy of indeterminate renal lesions can provide valuable diagnostic information, there are inherent risks associated with this procedure. The rare occurrence of tumour seeding should be considered when recommending percutaneous biopsy to a patient with a renal mass.
摘要
我们报告了一例68岁男性患者，其在接受部分肾切除术时发现乳头状肾细胞癌（福尔曼三级）沿经皮活检通道播散。由于患者对静脉造影剂严重过敏而无法接受影像学检查，故进行活检以获取复杂肾囊肿的组织诊断。尽管对不确定的肾脏病变进行活检可提供有价值的诊断信息，但该操作存在固有风险。在向肾肿物患者推荐经皮活检时，应考虑肿瘤种植这一罕见情况。
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