Sukapiriya Chawin, Bandidwattanawong Chanyoot
Department of Surgery, Bangkok Metropolitan Administration General Hospital, Bangkok, Thailand.
Department of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
Urol Case Rep. 2020 May 19;32:101267. doi: 10.1016/j.eucr.2020.101267. eCollection 2020 Sep.
Synchronous double primary RCC and TCC of the renal pelvis and bladder are extremely uncommon. Proper management is a medical dilemma, and no standard treatment strategy has been agreed upon for this rare situation. Our case involved a large mass in the right kidney and multiple masses in the left renal pelvis, ureter, and bladder. Aggressive management was adopted, including multiagent neoadjuvant chemotherapy, cystectomy and nephroureterectomy, which resulted in an excellent outcome, although our patient will require life-long hemodialysis.
肾盂和膀胱同时发生的双原发性肾细胞癌（RCC）和移行细胞癌（TCC）极为罕见。恰当的治疗是一个医学难题，对于这种罕见情况尚未达成标准的治疗策略。我们的病例涉及右肾的一个大肿块以及左肾盂、输尿管和膀胱的多个肿块。我们采取了积极的治疗措施，包括多药新辅助化疗、膀胱切除术和肾输尿管切除术，尽管我们的患者需要终身血液透析，但最终取得了良好的效果。
