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伴有肾转移的乙状结肠癌

Sigmoid adenocarcinoma with renal metastasis.

作者信息

Dagnoni Carini, Granero Luzete Cristina Silva, Rovere Rodrigo Kraft

机构信息

Department of Oncology, Santo Antonio Hospital, Blumenau, Santa Catarina, Brazil.

出版信息

Clin Pract. 2011 Nov 2;1(4):e88. doi: 10.4081/cp.2011.e88. eCollection 2011 Sep 28.

DOI:10.4081/cp.2011.e88
PMID:24765388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3981428/
Abstract

We report a case of a 75-year-old man submitted to a rectosigmoidectomy and partial cystectomy because of a sigmoid cancer and colovesical fistula. Seven months later and after four cycles of adjuvant chemotherapy, a lesion was detected in the kidney. Histology revealed tubular adenocarcinoma, which meant sigmoid cancer metastasis. Kidney metastases are very rare in colorectal cancer (CRC), but may be generally associated with an unfavorable prognosis. Thus, patients with metastatic CRC and kidney tumors are a diagnostic and therapeutic challenge.

摘要

我们报告了一例75岁男性患者，因乙状结肠癌和结肠膀胱瘘接受了直肠乙状结肠切除术和部分膀胱切除术。七个月后，在进行了四个周期的辅助化疗后，在肾脏发现了一个病灶。组织学检查显示为管状腺癌，这意味着乙状结肠癌转移。肾转移在结直肠癌（CRC）中非常罕见，但通常可能与不良预后相关。因此，患有转移性CRC和肾肿瘤的患者是诊断和治疗上的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2f/3981428/012516fea094/cp-2011-4-e88-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2f/3981428/fa523244027a/cp-2011-4-e88-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2f/3981428/3744469e9fed/cp-2011-4-e88-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2f/3981428/012516fea094/cp-2011-4-e88-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2f/3981428/fa523244027a/cp-2011-4-e88-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2f/3981428/3744469e9fed/cp-2011-4-e88-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2f/3981428/012516fea094/cp-2011-4-e88-g003.jpg

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本文引用的文献

1
Metastatic colorectal carcinoma and kidney tumors: a report of four cases.转移性结直肠癌和肾肿瘤：四例报告
Tumori. 2010 May-Jun;96(3):483-6. doi: 10.1177/030089161009600318.
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Oxaliplatin combined with weekly bolus fluorouracil and leucovorin as surgical adjuvant chemotherapy for stage II and III colon cancer: results from NSABP C-07.奥沙利铂联合每周大剂量氟尿嘧啶和亚叶酸作为II期和III期结肠癌的手术辅助化疗：NSABP C-07研究结果
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伴有肾转移的乙状结肠癌：1例罕见病例报告及文献复习
Oncol Lett. 2015 Aug;10(2):1191-1193. doi: 10.3892/ol.2015.3290. Epub 2015 May 28.
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Renal cell carcinoma.肾细胞癌
JAMA. 2004 Jul 7;292(1):97-100. doi: 10.1001/jama.292.1.97.
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Second primary malignancies associated with renal cell carcinoma: influence of histologic type.与肾细胞癌相关的第二原发性恶性肿瘤：组织学类型的影响
Urology. 2000 Sep 1;56(3):399-403. doi: 10.1016/s0090-4295(00)00682-8.
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Secondary renal neoplasms: an autopsy study.
South Med J. 1979 Jul;72(7):806-7. doi: 10.1097/00007611-197907000-00013.