Kamido Satoshi, Abe Toyofumi, Uemura Motohide, Kiuchi Hiroshi, Imamura Ryoichi, Miyagawa Yasushi, Nonomura Norio
The Department of Urology, Osaka University Graduate School of Medicine.
Hinyokika Kiyo. 2016 May;62(5):253-7.
A 63-year-old male with a past history of left nephrectomy due to clear cell renal cell carcinoma at the age of 57 was admitted for further evaluation. Enhanced abdominal computed tomography revealed that there were several hypervascular tumors in the pancreas and a single hypervascular tumor in the gallbladder. Laparoscopic cholecystectomy was performed to obtain pathological diagnosis. Microscopically, the tumor in the gallbladder was filled with clear cells and was diagnosed as metastatic gallbladder cancer from the previous clear cell renal cell carcinoma. Metastatic renal cell carcinoma to the gallbladder is extremely rare, with reported frequencies of less than 0. 6% in 687 autopsies. We herein report a case in which cholecystectomy enabled a successful diagnosis and review the reported 22 cases in Japanese patients.
一名63岁男性,57岁时因透明细胞肾细胞癌行左肾切除术,此次因进一步评估入院。增强腹部计算机断层扫描显示胰腺有多个高血运肿瘤,胆囊有一个高血运肿瘤。行腹腔镜胆囊切除术以获得病理诊断。显微镜下,胆囊肿瘤充满透明细胞,诊断为既往透明细胞肾细胞癌转移至胆囊。肾细胞癌转移至胆囊极为罕见,687例尸检报告的发生率低于0.6%。我们在此报告一例通过胆囊切除术成功诊断的病例,并回顾日本患者中报告的22例病例。