Otani Naoki, Wada Kojiro, Kumagai Kohsuke, Takeuchi Satoru, Nagatani Kimihiro, Tomura Satoshi, Osada Hideo, Asakuma Junichi, Mori Kentaro
Department of Neurosurgery, National Defense Medical College, Tokorozawa, Japan.
Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan.
Asian J Neurosurg. 2015 Jan-Mar;10(1):58. doi: 10.4103/1793-5482.151526.
We herein describe a case of a solitary metastasis of renal cell carcinoma (RCC) in the third ventricle, which was totally removed via an interhemispheric trans-callosal trans-choroidal approach. The histological examination revealed a solitary metastasis of RCC. The postoperative course was uneventful. A stereotactic cyber knife was additionally used for the tumor cavity. As of 2 years after surgery, the patient has been doing well without recurrence. This case highlights the urgent need for an early diagnosis and surgical treatment for solitary metastasis of RCC to the third ventricle due to its critical course.
我们在此描述一例肾细胞癌（RCC）孤立性转移至第三脑室的病例，该病例通过经半球间胼胝体经脉络膜入路完全切除。组织学检查显示为RCC孤立性转移。术后过程顺利。另外对肿瘤腔使用了立体定向射波刀。截至手术2年后，患者情况良好，无复发。该病例突出表明，由于RCC孤立性转移至第三脑室的病程危急，迫切需要早期诊断和手术治疗。
