Rodier J F, Rodier D, Janser J C, Navarrete E, Vergnes Y
Département de Chirurgie, Centre Paul Strauss, Strasbourg.
J Chir (Paris). 1988 May;125(5):341-5.
Spontaneous regression of metastases from cancer of kidney is an exceptional event, original but non-specific to this neoplasm. Observed principally in secondary pulmonary localizations this phenomenon occurs most frequently after nephrectomy. A personal case is presented of regression of pulmonary images considered as being metastatic after irradiation of a pelvic metastasis from renal adenocarcinoma, and a literature review carried out. The various pathogenic hypotheses are discussed and the place of nephrectomy for metastatic renal cancer (Robson's stage IV) debated.
肾癌转移灶的自发消退是一种罕见事件,虽然该现象最初是在此肿瘤中发现,但并非其特异性表现。这种现象主要见于继发性肺转移,且最常发生在肾切除术后。本文报告了一例肾腺癌盆腔转移灶经放疗后肺部影像被认为是转移灶却出现消退的病例,并进行了文献综述。文中讨论了各种致病假说,并对转移性肾癌(罗布森IV期)肾切除术的地位进行了辩论。