Maruyama Takuo, Ueda Yasuo, Suzuki Toru, Higuchi Yoshihide, Kondo Nobuyuki, Hayashi Chizuko, Zouzumi Masataka, Nojima Michio, Hirota Seiichi, Yamamoto Shingo
The Department of Urology, Hyogo College of Medicine.
Hinyokika Kiyo. 2013 Sep;59(9):569-72.
In 2008, a 65-year-old woman was referred to our department because of a right renal tumor detected by computed tomography (CT) that was associated with macroscopic hematuria. She underwent right hemicolectomy for ascending colon cancer in 2003, and right lower lobectomy for lung metastasis of colon cancer in 2004. CT, magnetic resonance imaging, fluorodeoxyglucose positron emission tomography computed tomography and bone scintigraphy did not indicate any other metastatic lesion except the right renal mass ; therefore, open right nephrectomy was performed. Results of the histopathologic examination demonstrated renal metastasis of colon cancer. Although administration of chemotherapy was continued, the patient died of multiple metastases 8 months after the right nephrectomy.
2008年,一名65岁女性因计算机断层扫描(CT)检测出右肾肿瘤并伴有肉眼血尿而转诊至我科。她于2003年因升结肠癌接受了右半结肠切除术,并于2004年因结肠癌肺转移接受了右下肺叶切除术。CT、磁共振成像、氟脱氧葡萄糖正电子发射断层扫描计算机断层扫描和骨闪烁显像均未显示除右肾肿块外的任何其他转移病灶;因此,实施了开放性右肾切除术。组织病理学检查结果显示为结肠癌肾转移。尽管继续进行化疗,但患者在右肾切除术后8个月死于多发转移。