Nevins Elizabeth, Zayat Ahmed S, Browning Anthony J, Biyani Chandra Shekhar, Jarrett Stephen
Department of Urology, The Mid Yorkshire Hospitals, NHS Trust, Yorkshire, UK.
Urol Ann. 2013 Oct;5(4):299-301. doi: 10.4103/0974-7796.120302.
A 77-year-old female, who suffered from rheumatoid arthritis and hypothyroidism, developed severe muscle weakness. Clinical features, blood results and muscle biopsy suggested a possible diagnosis of dermatomyositis. A computed tomography of the chest, abdomen and pelvis showed a solid mass in the left kidney. She underwent a left laparoscopic nephrectomy and histology confirmed conventional (clear cell) renal cell carcinoma. She recovered slowly and almost back to normal life after 6 months. Early appreciation of the typical skin rash may provide a clue to the diagnosis and screening for neoplasm may improve prognosis.
一名77岁女性，患有类风湿性关节炎和甲状腺功能减退症，出现了严重的肌肉无力。临床特征、血液检查结果和肌肉活检提示可能诊断为皮肌炎。胸部、腹部和骨盆的计算机断层扫描显示左肾有一个实性肿块。她接受了左侧腹腔镜肾切除术，组织学检查证实为传统型（透明细胞）肾细胞癌。6个月后她恢复缓慢，几乎恢复到正常生活。早期识别典型皮疹可能为诊断提供线索，而对肿瘤进行筛查可能改善预后。
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