Nephrology Center and Department of Rheumatology, Toranomon Hospital, Japan.
Okinaka Memorial Institute for Medical Research, Japan.
Intern Med. 2021;60(8):1237-1242. doi: 10.2169/internalmedicine.5375-20. Epub 2021 Apr 15.
A 74-year-old Japanese woman diagnosed with autosomal dominant polycystic kidney disease (ADPKD) was admitted to our institute for the further examination of right-side groin pain developing in the past week. The patient was diagnosed with polymyositis (PM). Diagnostic imaging showed a mass lesion measuring 8 cm and a renal stone in the right kidney. Immediately following surgical resection of the right kidney, the patient's serum CK decreased to the normal range. A histopathological analysis showed well-differentiated squamous cell carcinoma. In conclusion, this case showed a close relationship between the occurrence of squamous cell carcinoma and the development of PM in an ADPKD patient.
一位 74 岁的日本女性被诊断为常染色体显性多囊肾病(ADPKD),因过去一周出现右侧腹股沟疼痛而入住我院。该患者被诊断为多发性肌炎(PM)。诊断性影像学检查显示右肾有一个 8cm 的肿块和肾结石。在切除右肾后,患者的血清 CK 迅速降至正常范围。组织病理学分析显示为分化良好的鳞状细胞癌。总之,本例显示 ADPKD 患者中鳞状细胞癌的发生与 PM 的发展密切相关。