Chan Garson, Kroczak Tadeusz, Drachenberg Darrel
Division of Urology, St. Joseph's Health Care, Western University, London, ON;
Section of Urology, Department of Surgery, St. Boniface Hospital, University of Manitoba, Winnipeg, MB.
Can Urol Assoc J. 2014 Sep;8(9-10):358-60. doi: 10.5489/cuaj.2119.
Leiomyosarcomas are exceedingly rare malignant tumours with a very poor prognosis. We present a 78-year-old patient with a small renal and paracaval mass. Surgery included right open partial nephrectomy and resection of the paracaval mass to treat the presumed renal cell carcinoma. Pathology revealed the tumour to be leiomyosarcoma (LMS). This is only the second documented report of an inferior vena cava LMS presenting along with an ipsi-lateral renal mass.
平滑肌肉瘤是极其罕见的恶性肿瘤，预后极差。我们报告一例78岁患者，其肾门旁有一个小肿块。手术包括右侧开放性部分肾切除术及切除肾门旁肿块，以治疗疑似肾细胞癌。病理检查显示肿瘤为平滑肌肉瘤（LMS）。这是第二例记录在案的下腔静脉平滑肌肉瘤伴同侧肾肿块的报告。
