Malkoç Ercan, Aktaş Zeki, Kara Kemal, Haholu Aptullah
Department of Urology, Gülhane Military Medical Academy Haydarpaşa Training Hospital, İstanbul, Turkey.
Department of Radiology, Gülhane Military Medical Academy Haydarpaşa Training Hospital, İstanbul, Turkey.
Turk J Urol. 2015 Jun;41(2):93-5. doi: 10.5152/tud.2015.54280. Epub 2015 Feb 18.
Metastatic masses in the kidney are rare, and metastasis of pancreatic adenocarcinoma to the kidney is even rarer. A 58-year-old male patient with macroscopic hematuria presented to the emergency department. Abdominopelvic computed tomography revealed a lesion that was not visualized as a complete mass but instead appeared as a patch extending from the pelvis to the parenchyma. Biopsy indicated metastasis of pancreatic adenocarcinoma to the right kidney. These findings indicate that metastatic pancreatic adenocarcinoma should be considered in patients presenting with hematuria and findings of patch-like suspicious masses in the right kidney. After diagnosis is confirmed by prompt biopsy, chemotherapy should be initiated to prolong the patient's life. To the best of our knowledge, the present case is the first report of renal metastasis from pancreatic adenocarcinoma in a living patient.
肾脏的转移瘤较为罕见，胰腺腺癌转移至肾脏则更为罕见。一名58岁男性患者因肉眼血尿就诊于急诊科。腹盆腔计算机断层扫描显示一个病变，该病变并非完整肿块，而是表现为从肾盂延伸至肾实质的片状区域。活检提示胰腺腺癌转移至右肾。这些发现表明，对于出现血尿且右肾有片状可疑肿块的患者，应考虑胰腺腺癌转移的可能。在通过快速活检确诊后，应开始化疗以延长患者生命。据我们所知，本病例是首例关于活体患者胰腺腺癌肾转移的报告。
