Takai K, Kakizoe T, Tobisu K, Tanaka Y, Makuuchi M, Teshima S, Kishi K
Division of Urology, National Cancer Center Hospital, Tokyo.
Jpn J Clin Oncol. 1988 Dec;18(4):379-85.
A 56-year-old man underwent a right radical nephrectomy with removal of a vena caval thrombus and resection of hepatic metastases for right renal cell carcinoma. Twenty-one months after the first operation, a left renal cell carcinoma was detected which was treated with left radical nephrectomy and followed by hemodialysis. The patient then enjoyed an active life for 14 months but died 18 months after his second operation due to lung metastasis. Bilateral radical nephrectomy and hepatic resection may be justified since there is no strongly effective adjuvant therapy for such advanced cases.
一名56岁男性因右肾细胞癌接受了右肾根治性切除术，同时切除了腔静脉血栓并切除了肝转移灶。首次手术后21个月，发现左肾细胞癌，遂行左肾根治性切除术，术后进行血液透析。该患者随后积极生活了14个月，但在第二次手术后18个月因肺转移而死亡。对于如此晚期的病例，由于没有强有力的有效辅助治疗方法，双侧根治性肾切除术和肝切除术可能是合理的。
