Arakawa M, Jimi A, Ootomi M, Ooyabu Y, Samejima H
1st Dept. of Pathology, Kurume Univ. School of Med.
Gan No Rinsho. 1989 Mar;35(4):499-504.
A cystadenoma or a cystadenocarcinoma arising from the renal pelvis is a rare neoplasma and, so far as is known, only two cases have been reported in the literature (Arcadi, 1956, and Ross, 1985). Discussed herein is a case of a 63-year-old woman who developed a mucinous nephrosis, due to a marked retention of mucin produced by a tumor. The ureter as well was found to be involved. The histogenesis of an adenocarcinoma, which includes a cystadenoma and a cystadenocarcinoma, most likely is due to a glandular metaplasia, associated with urolithiasis and pyelonephritis. In this specific case, the patient revealed a history, fifteen years earlier, of renal calculi and pyelonephritis.
起源于肾盂的囊腺瘤或囊腺癌是一种罕见的肿瘤，据目前所知，文献中仅报道过两例（阿尔卡迪，1956年；罗斯，1985年）。本文讨论的是一名63岁女性的病例，该患者因肿瘤产生的粘蛋白显著潴留而发生了粘液性肾病。还发现输尿管也受到了累及。腺癌（包括囊腺瘤和囊腺癌）的组织发生很可能是由于与尿路结石和肾盂肾炎相关的腺化生。在这个特定病例中，患者15年前有肾结石和肾盂肾炎病史。
