Heng Jacob S, Ghuman Abeer S, Hamdulay Shahir S, Hirji Hassan
Imperial College London, London, UK Department of Rheumatology and General Medicine, Northwick Park Hospital, London, UK.
Department of Rheumatology and General Medicine, Northwick Park Hospital, London, UK.
BMJ Case Rep. 2015 Apr 28;2015:bcr2014209202. doi: 10.1136/bcr-2014-209202.
An 81-year-old South Asian man normally resident in the UK presented with night sweats for over 2 months on a background of weight loss of 4 kg in 6 months. His medical history was significant for metastatic renal cell carcinoma treated 5 years previously with cytoreductive nephrectomy and adjuvant chemotherapy. Following an abnormal chest radiograph showing an ill-defined right paratracheal mass, a CT scan showed eggshell calcification (circumferential calcification) of enlarged low right paratracheal lymph nodes. An endobronchial ultrasound-guided transbronchial needle aspiration of an involved large paratracheal lymph node showed cytology consistent with metastatic renal cell carcinoma.
一名常住英国的81岁南亚男性，出现盗汗2个多月，6个月内体重减轻4公斤。他有重要病史，5年前因转移性肾细胞癌接受了减瘤性肾切除术和辅助化疗。胸部X线片异常显示右气管旁肿块边界不清，CT扫描显示右下气管旁肿大淋巴结有蛋壳样钙化（环形钙化）。经支气管超声引导下对一个受累的大气管旁淋巴结进行经支气管针吸活检，细胞学检查结果与转移性肾细胞癌相符。
