Department of Urology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Medical Examination Center, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Int J Immunopathol Pharmacol. 2020 Jan-Dec;34:2058738420931619. doi: 10.1177/2058738420931619.
We presented the clinical data of one patient with renal cell carcinoma associated with idiopathic thrombocytopenic purpura in this case report. We reported a 56-year-old man who presented with petechiae and ecchymoses. Laboratory studies showed the platelet count of 2 × 10/L and an abdominal computed tomography (CT) scan revealed tumors in the right renal. There were purpura on the legs and cough without abdominal pain and melena at this time. Idiopathic thrombocytopenic purpura was diagnosed according to the clinical symptoms and laboratory test. The patient received radical nephrectomy for renal carcinoma, and his idiopathic thrombocytopenic purpura was cured after the surgery. Pathological biopsy confirmed it was renal clear cell carcinoma. The patient has been followed up for more than 3 months after surgery, and the ecchymoses had not been recurred and the patient's thrombocytopenia was recovered. Idiopathic thrombocytopenic purpura associated with kidney cancer is rare. The patient in this case report was treated with radical nephrectomy, and the effectiveness of idiopathic thrombocytopenic purpura was satisfactory.
我们在本病例报告中介绍了一例伴特发性血小板减少性紫癜的肾细胞癌患者的临床资料。报告了一位 56 岁男性,表现为瘀点和瘀斑。实验室研究显示血小板计数为 2×10/L,腹部 CT 扫描显示右肾有肿瘤。此时腿部有紫癜,伴有咳嗽,无腹痛和黑便。根据临床症状和实验室检查诊断为特发性血小板减少性紫癜。患者因肾癌接受根治性肾切除术,术后特发性血小板减少性紫癜治愈。病理活检证实为肾透明细胞癌。术后随访 3 个月以上,患者无瘀斑,血小板减少恢复。特发性血小板减少性紫癜伴发肾癌较为罕见。本例患者行根治性肾切除术,特发性血小板减少性紫癜疗效满意。