Maeda O, Kameoka H, Miyoshi S, Iwao N, Mizutani S
Hinyokika Kiyo. 1987 Apr;33(4):572-8.
Three cases of metastatic renal tumor are reported. The first case was of a 61-year-old man, who had a Miles' operation for rectal adenocarcinoma 30 months before, and suffered from high fever and right flank pain. Right nephrectomy was carried out and the kidney was found to contain an adenocarcinoma identical to the one previously removed from the rectum. He died 1 year after nephrectomy. The second case was of a 35-year-old man, who had undergone left pneumonectomy for a squamous cell carcinoma of the bronchus. One month later, he was readmitted with cloudiness of consciousness and high fever. Investigations revealed right kidney, adrenal gland and brain malignancies, and which were ectomized totally. On pathological examination all ectomized tissues were metastatic squamous cell carcinoma. He died 1 month after the second operation. The third case was of a 48-year-old man, who had undergone left pneumonectomy for a squamous cell carcinoma of the bronchus. One year after pneumonectomy, abdominal CT showed a left renal tumor. Right nephrectomy was performed and pathological examination revealed a metastatic squamous cell carcinoma. He is now alive 4 months after nephrectomy without any sign of recurrence. A total of 136 cases of metastatic renal tumors including 38 cases from the Japanese literature, are reviewed.
本文报告了3例转移性肾肿瘤病例。第一例为一名61岁男性，30个月前因直肠腺癌接受了迈尔斯手术，现出现高热和右侧腰痛。实施了右肾切除术，发现肾脏中有一个腺癌，与之前从直肠切除的腺癌相同。肾切除术后1年他去世。第二例为一名35岁男性，曾因支气管鳞状细胞癌接受左肺切除术。1个月后，他因意识模糊和高热再次入院。检查发现右肾、肾上腺和脑部有恶性肿瘤，并全部切除。病理检查显示，所有切除组织均为转移性鳞状细胞癌。第二次手术后1个月他去世。第三例为一名48岁男性，曾因支气管鳞状细胞癌接受左肺切除术。肺切除术后1年，腹部CT显示左肾肿瘤。实施了右肾切除术，病理检查显示为转移性鳞状细胞癌。肾切除术后4个月他目前仍存活，无任何复发迹象。本文还回顾了包括日本文献中的38例在内的总共136例转移性肾肿瘤病例。
