White Ian, Smith Shane, Rizkalla Kamilia, Davies Edward
Department of Physiology and Pharmacology, University of Western Ontario, London, ON, Canada.
Division of General Surgery, London Health Sciences Centre, University of Western Ontario, London, ON, Canada.
Clin Pathol. 2019 Jul 22;12:2632010X19861112. doi: 10.1177/2632010X19861112. eCollection 2019 Jan-Dec.
Renal cell carcinoma (RCC) commonly metastasizes to areas such as the lungs, liver, bone, brain, adrenals, and lymph nodes. We present a rare case of a 59-year-old female patient with RCC metastasis to the gallbladder. The patient had undergone right nephrectomy for RCC more than 6 years prior to the metastasis. During routine follow-up, a polypoid lesion of the gallbladder was identified. Laparoscopic cholecystectomy was performed, and pathologic examination of the specimen revealed metastatic RCC. The patient was completely asymptomatic, which reinforces the importance of postoperative follow-up. Renal cell carcinoma is one of the few common malignancies for which there is good evidence of survival benefit from surgical resection of the metastatic tumours.
肾细胞癌(RCC)通常会转移至肺部、肝脏、骨骼、大脑、肾上腺和淋巴结等部位。我们报告了一例罕见的59岁女性患者,其肾细胞癌转移至胆囊。该患者在转移发生前6年多因肾细胞癌接受了右肾切除术。在常规随访期间,发现胆囊有一个息肉样病变。进行了腹腔镜胆囊切除术,标本的病理检查显示为转移性肾细胞癌。患者完全无症状,这进一步强调了术后随访的重要性。肾细胞癌是少数几种有充分证据表明手术切除转移瘤可带来生存获益的常见恶性肿瘤之一。