肾细胞癌部分肾切除术后肾盂癌的同侧发生

[Ipsilateral Occurrence of Renal Pelvic Carcinoma after Partial Nephrectomy for Renal Cell Carcinoma].

作者信息

Tatenuma Tomoyuki, Mizuno Nobuhiko, Jikuya Ryosuke, Kawai Masaki, Kishida Takeshi

机构信息

The Department of Urology, Kanagawa Cancer Center.

出版信息

Hinyokika Kiyo. 2016 Oct;62(10):535-537. doi: 10.14989/ActaUrolJap_62_10_535.

DOI:10.14989/ActaUrolJap_62_10_535

PMID:27919128

Abstract

A 70-year-old man underwent left partial nephrectomy for renal cell carcinoma (pT1aN0M0). One year after the surgery, he presented with hematuria and fatigue. Computed tomography showed a left 8 cm renal tumor and multiple liver and lung metastases. We performed percutaneous renal and liver biopsy with echo guidance. The diagnosis of both kidney and liver was urothelial carcinoma. He died 3 weeks after the diagnosis. Ipsilateral occurrence of the pelvic renal carcinoma after partial nephrectomy for renal cell carcinoma is extremely rare. To our knowledge, this case is the first to be reported in Japan and elsewhere.

摘要

一名70岁男性因肾细胞癌（pT1aN0M0）接受了左肾部分切除术。术后一年，他出现血尿和疲劳症状。计算机断层扫描显示左肾有一个8厘米的肿瘤以及多发肝转移和肺转移。我们在超声引导下进行了经皮肾活检和肝活检。肾脏和肝脏的诊断均为尿路上皮癌。诊断后3周他去世了。肾细胞癌部分切除术后同侧发生肾盂癌极为罕见。据我们所知，该病例是日本及其他地区首例报道。