肾切除术后脾脏移位酷似肾细胞癌复发：一例报告

Displacement of the Spleen Mimicking Renal Cell Cancer Recurrence Post-Nephrectomy: A Case Report.

作者信息

Emanuels Carolina S, Timmerman Krista D, Aijaz Tabish, Nguyen Thu-Cuc, Jest Nathaniel, Drane Walter E, Gilbert Scott M, Crispen Paul L, Su Li-Ming, Deitte Lori A, Dang Long H

机构信息

Division of Hematology/Oncology, Department of Internal Medicine, University of Florida Shands Cancer Center; Department of Radiology; Department of Urology, University of Florida, Gainesville, Florida, USA.

出版信息

J Kidney Cancer VHL. 2015 Jun 20;2(3):130-133. doi: 10.15586/jkcvhl.2015.36. eCollection 2015.

DOI:10.15586/jkcvhl.2015.36

PMID:28326267

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5345533/

Abstract

Local regional recurrence of renal cell cancer post-nephrectomy most often occurs within three years after surgery. Post-nephrectomy, many processes may mimic RCC recurrence. We present the case of a 75 year-old Caucasian male patient with a mass in his renal fossa post-nephrectomy for renal cell cancer, suggesting local recurrence. Use of the technetium-99m sulfur colloid scan showed that the mass was his spleen which had been displaced into the renal fossa. With high index of suspicion, characterization of these processes as splenic in origin would prevent subjecting patients to risks of biopsy or even surgery.

摘要

肾细胞癌肾切除术后局部区域复发最常发生在手术后三年内。肾切除术后，许多情况可能会酷似肾细胞癌复发。我们报告一例75岁的白种男性患者，其肾细胞癌肾切除术后肾窝出现肿物，提示局部复发。使用锝-99m硫胶体扫描显示该肿物为移位至肾窝的脾脏。高度怀疑时，将这些情况判定为脾脏来源可避免让患者面临活检甚至手术的风险。