Juma S, Nickel J C, Young I
Department of Urology, Queen's University, Kingston, Ont.
Can J Surg. 1989 Sep;32(5):384-6.
Primary carcinoids of the kidney are very rare, only 10 cases having been reported in the literature. The authors report a case of primary renal carcinoid in a 50-year-old woman. A radical nephrectomy with lymphadenectomy was successfully performed and there was no residual or recurrent tumour at 2-year follow-up. A review of the reported cases revealed a variable, nonspecific presentation. Most laboratory tests were non-contributory except for urinalysis. When a renal carcinoid is diagnosed, a search should be made for a possible primary elsewhere. Primary renal carcinoid does exhibit malignant behaviour. It should be managed by radical nephrectomy with retroperitoneal lymphadenectomy.
原发性肾类癌非常罕见，文献中仅报道过10例。作者报告了一例50岁女性的原发性肾类癌病例。成功实施了根治性肾切除术及淋巴结清扫术，在2年的随访中未发现残留或复发肿瘤。对已报道病例的回顾显示其表现多样且不具特异性。除尿液分析外，大多数实验室检查并无诊断价值。当诊断为肾类癌时，应排查是否存在其他部位的可能原发灶。原发性肾类癌确实具有恶性行为。应通过根治性肾切除术及腹膜后淋巴结清扫术进行治疗。
