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肾盂尿路上皮癌的睾丸转移:1例罕见病例及文献复习

Testicular Metastasis from Urothelial Carcinoma of the Renal Pelvis: A Rare Case and Review of the Literature.

作者信息

Wu Xue-Wu, Zhang Yang, Li Yu-Feng, Li Ye, Zhang Xiang-Xiang, Wang Wei, Ma Jun-Hai, Wang Pei-Long, Dong Zhi-Chun, Shi Wei, Tian Jun-Qiang

机构信息

Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China.

Department of Ultrasound in Medicine, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai Institute of Ultrasound in Medicine, Shanghai 200233, People's Republic of China.

出版信息

Onco Targets Ther. 2020 Jan 30;13:915-920. doi: 10.2147/OTT.S230040. eCollection 2020.

Abstract

This paper presents an extremely rare case of testicular metastasis arising from renal pelvis carcinoma. The testicle is a rare site of clinically detectable tumor metastasis, originating rarely from upper tract urothelial carcinoma (UTUC). There are only two cases concerning UTUC metastasis to the testis available in the literature. In this report, we presented a patient who developed serial testicle, lung, liver and retroperitoneal lymph node metastasis from primary urothelial carcinoma of the renal pelvis within one year after surgery and chemotherapy. In conclusion, for patients with a history of UTUC who present with testicular symptoms, clinicians should be highly alert for the possibility of malignant involvement at this site.

摘要

本文报道了一例极为罕见的肾盂癌睾丸转移病例。睾丸是临床上可检测到肿瘤转移的罕见部位,很少起源于上尿路尿路上皮癌(UTUC)。文献中仅有两例关于UTUC转移至睾丸的病例。在本报告中,我们介绍了一名患者,该患者在手术和化疗后一年内出现了原发性肾盂尿路上皮癌的系列睾丸、肺、肝和腹膜后淋巴结转移。总之,对于有UTUC病史且出现睾丸症状的患者,临床医生应高度警惕该部位发生恶性病变的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c260/6996609/e7d27ee1aae2/OTT-13-915-g0001.jpg

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