Kitami K, Masuda M, Chiba K, Kumagai H
Department of Urology, Yamato City Hospital.
Hinyokika Kiyo. 1987 Aug;33(8):1221-5.
A 61-year-old male, who had undergone operation of esophageal carcinoma 11 months earlier, was admitted for left flank pain and high fever. Intravenous pyelography showed a space occupying lesion in the upper half of the left kidney. Computed tomographic scan showed an irregular low density area in the upper half of the left kidney. Angiograms revealed a hypovascular mass with encasement vessels in the same site. Left nephrectomy and paraaortic lymph node biopsy was performed. Pathological examination revealed a metastatic squamous carcinoma from the esophageal carcinoma. Chemotherapy was conducted, but he died 2 months later. Autopsy revealed recurrence in the retroperitoneum, and no metastasis in the right kidney. The literature on secondary renal tumor is reviewed.
一名61岁男性，11个月前接受了食管癌手术，因左侧腰痛和高热入院。静脉肾盂造影显示左肾上半部分有占位性病变。计算机断层扫描显示左肾上半部分有不规则低密度区。血管造影显示同一部位有一个血管少的肿块及包绕血管。进行了左肾切除术和主动脉旁淋巴结活检。病理检查显示为食管癌转移的鳞状细胞癌。进行了化疗，但他在2个月后死亡。尸检显示腹膜后复发，右肾无转移。本文对继发性肾肿瘤的文献进行了综述。
