Department of Urology, Tokyo Women's Medical University, Tokyo, Japan.
Int J Urol. 2014 Mar;21(3):330-2. doi: 10.1111/iju.12239. Epub 2013 Aug 4.
Although local recurrence of renal cell carcinoma after laparoscopic radical nephrectomy is sometimes reported, cystic local recurrence of renal cell carcinoma has rarely been reported. We report the case of a 59-year-old man with hemodialysis who developed cystic local recurrence of renal cell carcinoma accompanied by acquired cystic disease of the kidney in the retroperitoneal space after laparoscopic radical nephrectomy. A cystic tumor of 5.1 cm in diameter occurred in the left retroperitoneal space 15 months after left laparoscopic radical nephrectomy, and enlarged to 7.2 cm in diameter with enhanced mass along the wall of the cyst 36 months after surgery. The cystic tumor was removed and showed local recurrence of renal cell carcinoma on pathological examination.
虽然腹腔镜根治性肾切除术后肾细胞癌局部复发有时会被报道，但囊性肾细胞癌局部复发很少被报道。我们报告了一例 59 岁男性患者的病例，该患者在腹腔镜根治性肾切除术后出现囊性局部复发肾细胞癌，并伴有获得性肾囊性病。左腹腔镜根治性肾切除术后 15 个月，左后腹膜腔出现 5.1 厘米直径的囊性肿瘤，术后 36 个月，囊性肿瘤沿囊肿壁增大至 7.2 厘米直径，伴有增强肿块。囊性肿瘤被切除，病理检查显示为肾细胞癌局部复发。
