肾切除术后肾细胞癌的局限性胸膜转移：一例报告及文献复习

Localized Pleural Metastases of Renal Cell Carcinoma After Nephrectomy: A Case Report and Literature Review.

作者信息

Yasuda Yuichiro, Tobino Kazunori, Ko Yuki, Asaji Mina, Yamaji Yoshikazu, Tsuruno Kosuke, Mukasa Yosuke, Ebi Noriyuki

机构信息

*Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka †Department of Respiratory Medicine, School of Medicine, Juntendo University, Bunkyo-Ku, Tokyo, Japan.

出版信息

J Bronchology Interv Pulmonol. 2016 Jan;23(1):59-62. doi: 10.1097/LBR.0000000000000181.

DOI:10.1097/LBR.0000000000000181

PMID:26705014

Abstract

We herein report the case of a 61-year-old Japanese male with localized pleural metastases of renal cell carcinoma. The patient was admitted to our hospital because of dyspnea on exertion and left-sided pleural effusion. He had undergone right radical nephrectomy 10 years previously. Contrast-enhanced whole-body computed tomography revealed scattered nodular thickening of the left pleura with contrast enhancement and left-sided pleural effusion. Thoracoscopy performed under local anesthesia was applied to obtain a biopsy of the pleural nodules, and the specimen was consequently diagnosed as exhibiting pleural metastasis of renal cell carcinoma, clear cell type.

摘要

我们在此报告一例61岁日本男性肾细胞癌局限性胸膜转移的病例。患者因劳力性呼吸困难和左侧胸腔积液入院。他10年前接受了右肾根治性切除术。增强全身计算机断层扫描显示左侧胸膜散在结节状增厚伴强化及左侧胸腔积液。在局部麻醉下进行胸腔镜检查以获取胸膜结节活检标本，结果诊断为肾细胞癌透明细胞型胸膜转移。