Fujimoto S, Sumiyoshi A, Yamamoto Y, Tanaka K
First Department of Pathology, Miyazaki Medical College, Japan.
Int Urol Nephrol. 1988;20(4):347-52. doi: 10.1007/BF02549566.
A patient with eight years' history of haemodialysis treatment developed gross haematuria. During evaluation severe abdominal pain with dyspnoea developed and he died suddenly. Autopsy revealed spindle cell type renal cell carcinoma (RCC) associated with acquired renal cystic disease and adenoma in the remaining kidney. Multiple embolization of RCC was considered to be linked to the cause of death. Although patients on long-term haemodialysis often have multiple renal cystic lesions, some of which are associated with tumour formation, RCC of this specific cell type in dialysed kidney has not been previously described.
一名有八年血液透析治疗史的患者出现肉眼血尿。在评估过程中，患者出现严重腹痛并伴有呼吸困难，随后突然死亡。尸检显示为梭形细胞型肾细胞癌（RCC），与获得性肾囊肿疾病相关，且对侧肾脏存在腺瘤。肾细胞癌的多次栓塞被认为与死亡原因有关。虽然长期接受血液透析的患者通常有多个肾囊性病变，其中一些与肿瘤形成有关，但此前尚未描述过透析肾中这种特定细胞类型的肾细胞癌。
