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盆腔肾来源的复杂性肾细胞癌的多学科管理。

Multidisciplinary management of a complex case of renal cell carcinoma arising in a pelvic kidney.

机构信息

Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Ann R Coll Surg Engl. 2022 Mar;104(3):e70-e73. doi: 10.1308/rcsann.2021.0139. Epub 2021 Nov 23.

DOI:10.1308/rcsann.2021.0139
PMID:34813405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10335231/
Abstract

The incidence of ectopic kidney is 1 in 2100-3000 autopsies. Renal cell cancer (RCC) in pelvic kidney is a rare entity with limited case reports available in the literature. Symptoms can vary from abdominal pain to haematuria, or RCC can be detected incidentally. Contrast imaging with computed tomography (CT) angiography is recommended to determine the location of the renal mass and the anatomy of surrounding organs and major vessels feeding it. Treatment of choice is radical nephrectomy. We report a case of RCC in ectopic pelvic kidney managed with radical nephrectomy that was deemed unresectable on CT imaging.

摘要

尸检中异位肾的发生率为 1/2100-3000。盆腔肾肾细胞癌(RCC)是一种罕见的实体瘤,文献中仅有有限的病例报告。症状从腹痛到血尿不等,或者偶然发现 RCC。建议使用计算机断层扫描(CT)血管造影进行对比成像,以确定肾肿块的位置以及周围器官和为其供血的主要血管的解剖结构。首选治疗方法是根治性肾切除术。我们报告了一例经根治性肾切除术治疗的异位盆腔肾 RCC 病例,该病例在 CT 成像上被认为无法切除。

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本文引用的文献

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Surgical management of a locally invasive renal cell carcinoma in an ectopic pelvic kidney.异位盆腔肾中局部浸润性肾细胞癌的外科治疗
Urol Case Rep. 2019 Dec 19;29:101107. doi: 10.1016/j.eucr.2019.101107. eCollection 2020 Mar.
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Renal cell carcinoma in ectopic pelvic kidney: A rare case report with relevant surgical anatomy.盆腔异位肾中的肾细胞癌:一例罕见病例报告及相关手术解剖学
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Renal cell carcinoma in an ectopic pelvic kidney: About a case report.盆腔异位肾中的肾细胞癌:病例报告
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Renal cell carcinoma in ectopic-pelvic kidney: A rare case with review of literature.盆腔异位肾中的肾细胞癌:1例罕见病例并文献复习
Turk J Urol. 2018 Sep;44(5):433-436. doi: 10.5152/tud.2018.22058. Epub 2018 Sep 1.
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Surgical Management of Ectopic Kidney with Bilateral Iliac Vein Invasion.双侧髂静脉受侵异位肾的外科治疗
J Clin Diagn Res. 2016 Mar;10(3):PH01-2. doi: 10.7860/JCDR/2016/17317.7354. Epub 2016 Mar 1.
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Pelvic nephroureterectomy for renal cell carcinoma in an ectopic kidney.异位肾肾细胞癌的盆腔肾输尿管切除术
Case Rep Oncol Med. 2012;2012:350916. doi: 10.1155/2012/350916. Epub 2012 Oct 22.
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Renal cell carcinoma in presacral pelvic kidney.骶前盆腔肾中的肾细胞癌
J Pak Med Assoc. 2009 Jul;59(7):482-3.
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Absence of Gerota's fascia in pelvic ectopic kidney: implications in laparoscopic radical nephrectomy.盆腔异位肾中肾周筋膜缺如:对腹腔镜根治性肾切除术的影响
Urology. 2006 Nov;68(5):1121.e21-2. doi: 10.1016/j.urology.2006.08.1072.
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Renal cell cancer in presacral ectopic kidney: preoperative diagnostic imaging compared to surgical findings.骶前异位肾中的肾细胞癌:术前诊断性影像学检查与手术结果对比
Urol Int. 2004;72(2):174-5. doi: 10.1159/000075976.
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Is there a need for pelvic CT scan in cases of renal cell carcinoma?肾细胞癌患者是否需要进行盆腔CT扫描?
Int Urol Nephrol. 2002;33(1):13-5. doi: 10.1023/a:1014432331201.