Murai M, Nakamura H, Shinoda M, Ohashi M, Tazaki H
Department of Urology, National Defense Medical College, Tokorozawa, Japan.
Urology. 1989 Jun;33(6):477-80. doi: 10.1016/0090-4295(89)90136-2.
We describe a case of transitional cell carcinoma of the renal pelvis in a horseshoe kidney with vaginal tumor as the first manifestation of remote metastasis. While the occurrence of adenocarcinoma in a horseshoe kidney appears to be no higher than in nonfused kidneys, the incidence of transitional cell carcinoma among neoplasms in horseshoe kidneys is higher. Vaginal metastasis from transitional cell carcinoma of the renal pelvis is considered extremely rare. To our knowledge, this is the first case reported of transitional cell carcinoma of the renal pelvis in a horseshoe kidney with metastasis to the vagina. The patient was successfully treated with surgery, irradiation, and chemotherapy.
我们描述了一例马蹄肾肾盂移行细胞癌，以阴道肿瘤作为远处转移的首发表现。虽然马蹄肾中腺癌的发生率似乎并不高于非融合肾，但马蹄肾肿瘤中移行细胞癌的发生率更高。肾盂移行细胞癌转移至阴道被认为极为罕见。据我们所知，这是首例报道的马蹄肾肾盂移行细胞癌转移至阴道的病例。该患者通过手术、放疗和化疗得到了成功治疗。
