Dafashy Tamer J, Ghaffary Cameron K, Keyes Kyle T, Sonstein Joseph
Department of Surgery, Division of Urology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA.
Case Rep Urol. 2016;2016:7329463. doi: 10.1155/2016/7329463. Epub 2016 Jan 19.
While renal cell carcinoma is the most commonly diagnosed neoplasm of the kidney, its simultaneous diagnosis with a gastrointestinal malignancy is a rare, but well reported phenomenon. This discussion focuses on three independent cases in which each patient was diagnosed with renal cell carcinoma and a unique synchronous gastrointestinal malignancy. Case 1 explores the diagnosis and surgical intervention of a 66-year-old male patient synchronously diagnosed with clear cell renal cell carcinoma and a carcinoid tumor of the small bowel. Case 2 describes the diagnosis and surgical intervention of a 61-year-old male found to have clear cell renal cell carcinoma and a mucinous appendiceal neoplasm. Lastly, Case 3 focuses on the interventions and management of a 36-year-old female diagnosed with synchronous clear cell renal carcinoma and hereditary nonpolyposis colorectal cancer. This case series examines each distinct patient's presentation, discusses the diagnosis, and compares and contrasts the findings while discussing the literature on this topic.
虽然肾细胞癌是最常被诊断出的肾脏肿瘤,但其与胃肠道恶性肿瘤同时被诊断出来是一种罕见但有充分报道的现象。本讨论聚焦于三个独立病例,每个病例中的患者均被诊断出患有肾细胞癌以及一种独特的同步性胃肠道恶性肿瘤。病例1探讨了一名66岁男性患者同时被诊断出透明细胞肾细胞癌和小肠类癌肿瘤的诊断及手术干预情况。病例2描述了一名61岁男性被发现患有透明细胞肾细胞癌和黏液性阑尾肿瘤的诊断及手术干预情况。最后,病例3着重讲述了一名36岁女性被诊断出同步性透明细胞肾癌和遗传性非息肉病性结直肠癌的干预及管理情况。本病例系列研究了每个不同患者的临床表现,讨论了诊断情况,并在讨论该主题相关文献的同时,对各项发现进行了比较和对比。