Yamazaki Haruhiko, Kishida Takeshi, Noguchi Go, Iwasaki Hiroyuki, Suganuma Nobuyasu, Masudo Katsuhiko, Nakayama Hirotaka, Yamashita Toshinari, Yamanaka Takashi, Sugawara Yuko, Matsubara Yuka, Kohagura Kaori, Rino Yasushi, Masuda Munetaka
Department of Breast and Endocrine Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Department of Urology, Kanagawa Cancer Center, Yokohama, Japan.
Case Rep Endocrinol. 2018 Nov 11;2018:7842792. doi: 10.1155/2018/7842792. eCollection 2018.
The occurrence of renal tumors originating from thyroid cancer is extremely rare with a few effective treatments for renal metastases. Here, we report the cases of two patients with differentiated thyroid cancer who underwent nephrectomy for a metastatic kidney tumor. Case 1 was a 74-year-old man who was diagnosed with right kidney tumor 10 years after initial surgery for papillary thyroid cancer (PTC). Right nephrectomy was performed, and the pathology was metastatic PTC. Case 2 was a 68-year-old woman who was diagnosed with left kidney tumor 24 years after surgery for follicular thyroid carcinoma (FTC). Left nephrectomy was performed, and the pathology was metastatic FTC. Nephrectomy for single renal metastasis could be considered a treatment option if the patients' general condition is positive.
源自甲状腺癌的肾肿瘤极为罕见,且针对肾转移的有效治疗方法不多。在此,我们报告两例分化型甲状腺癌患者因转移性肾肿瘤接受肾切除术的病例。病例1是一名74岁男性,在乳头状甲状腺癌(PTC)初次手术后10年被诊断出右肾肿瘤。实施了右肾切除术,病理结果为转移性PTC。病例2是一名68岁女性,在滤泡状甲状腺癌(FTC)手术后24年被诊断出左肾肿瘤。实施了左肾切除术,病理结果为转移性FTC。如果患者的一般状况良好,对于单一肾转移灶进行肾切除术可被视为一种治疗选择。