Akioka Takahiro, Terada Naoki, Takamori Hiroki, Kamimura Toshio, Mukai Shoichiro, Kamoto Toshiyuki
Department of Urology, Miyazaki University, Miyazaki, Japan.
Urol Case Rep. 2021 Oct 30;40:101925. doi: 10.1016/j.eucr.2021.101925. eCollection 2022 Jan.
von Hippel-Lindau (VHL) disease is an autosomal dominant hereditary disease with benign and malignant tumors occurring in various organs including the kidneys. In patients with renal cell carcinoma (RCC) lesions in both kidneys, it is difficult to determine the treatment strategy. We report a case of VHL disease with RCC treated via partial nephrectomy after 6 months of axitinib therapy. Then, the patient continued to receive low-dose axitinib therapy without any signs of tumor progression for 3 years after surgery. Axitinib combined with surgery might be a treatment option for patients with VHL disease harboring bilateral RCC.
希佩尔-林道(VHL)病是一种常染色体显性遗传病,在包括肾脏在内的多个器官中会出现良性和恶性肿瘤。对于双侧肾脏均有肾细胞癌(RCC)病变的患者,很难确定治疗策略。我们报告了1例VHL病合并RCC的患者,在接受阿昔替尼治疗6个月后行部分肾切除术。术后,患者继续接受低剂量阿昔替尼治疗,术后3年无任何肿瘤进展迹象。阿昔替尼联合手术可能是治疗双侧RCC的VHL病患者的一种治疗选择。