Kurauchi H, Machida T, Ohishi Y, Onodera S, Akasaka Y, Onishi T, Ikemoto I, Yamasaki H
Department of Urology, Jikei University, School of Medicine.
Hinyokika Kiyo. 1988 Sep;34(9):1617-20.
Case 1: A 58-year-old man was seen with dull pain over the left flank. The X-ray examination revealed a renal stone in the left kidney. On operation, a globular hard mass was found in the lower portion of the posterior aspect of the kidney from which a biopsy specimen was obtained. A frozen section study showed renal cell carcinoma, and nephrectomy was performed. The patient is well four years after the operation without recurrence or metastasis. Case 2: A 50-year-old man consulted with microhematuria pointed out in a physical examination. At the operation for renal stone, we found the mass in the lower portion of the kidney. A frozen section study of the mass revealed renal cell carcinoma. We performed nephrectomy and lymphadenectomy on the renal pedicle. The patient is well three years after the operation. We reviewed the cases of renal cell carcinoma associated with renal calculi reported in Japan and discussed how the nephrectomy should be performed according to the frozen section study.
病例1：一名58岁男性因左侧胁腹钝痛前来就诊。X线检查发现左肾有一枚肾结石。手术中，在肾后侧下部发现一个球形硬块，并从中获取了活检标本。冰冻切片检查显示为肾细胞癌，遂行肾切除术。术后四年患者情况良好，无复发或转移。病例2：一名50岁男性因体检时发现镜下血尿前来咨询。在肾结石手术中，我们在肾下部发现了肿块。对该肿块进行冰冻切片检查显示为肾细胞癌。我们对肾蒂进行了肾切除术和淋巴结清扫术。术后三年患者情况良好。我们回顾了日本报道的与肾结石相关的肾细胞癌病例，并讨论了如何根据冰冻切片检查进行肾切除术。
