Nagai T, Takashi M, Sakata T, Sahashi M, Simoji T, Miyake K
Department of Urology, School of Medicine, Nagoya University.
Hinyokika Kiyo. 1989 Sep;35(9):1565-8.
A 50-year-old man, who had undergone operation of esophageal carcinoma 2 years earlier, was admitted with the complaints of right flank pain and macroscopic hematuria. Intravenous urogram showed right unvisualized kidney. Right retrograde pyelography showed the dilatation of calices and irregularity of middle and lower calices. Computed tomography revealed severe hydronephrosis of the right kidney. Right nephrectomy was performed under the diagnosis of either renal pelvic cancer or esophageal cancer metastatic to the kidney. Pathological examination revealed metastatic squamous cell carcinoma from esophagus. The patient was treated by radiotherapy but died 4 months after the surgical treatment. Literature on eight case of metastatic renal cancer from esophagus is reviewed.
一名50岁男性,2年前接受过食管癌手术,因右侧胁腹疼痛和肉眼血尿入院。静脉肾盂造影显示右侧肾脏不显影。右侧逆行肾盂造影显示肾盏扩张,中、下肾盏不规则。计算机断层扫描显示右肾重度肾积水。在诊断为肾盂癌或食管癌转移至肾脏后,进行了右肾切除术。病理检查显示为食管转移性鳞状细胞癌。患者接受了放射治疗,但在手术治疗4个月后死亡。本文回顾了8例食管转移性肾癌的文献。