机器人辅助部分肾切除术中偶然发现的肾细胞癌合并血管内大B细胞淋巴瘤。
Intravascular large B-cell lymphoma in renal cell carcinoma incidentally detected by robot-assisted partial nephrectomy.
作者信息
Noda Michio, Enomoto Yutaka, Shirasugi Yukari, Ando Sumiyo, Matsuzawa Yukimasa, Kume Haruki
机构信息
Department of Urology Mitsui Memorial Hospital Tokyo Japan.
Department of Hematology Mitsui Memorial Hospital Tokyo Japan.
出版信息
IJU Case Rep. 2022 Mar 18;5(3):191-194. doi: 10.1002/iju5.12434. eCollection 2022 May.
INTRODUCTION
Intravascular large B-cell lymphoma is a rare and aggressive type of extranodal large B-cell lymphoma. Although intravascular large B-cell lymphoma can invade various organs, renal involvement has been rarely reported. Synchronous occurrence of intravascular lymphoma with renal cell carcinoma is extremely rare. We herein report a case of intravascular large B-cell lymphoma in a renal cell carcinoma incidentally detected by robot-assisted partial nephrectomy.
CASE PRESENTATION
A 69-year-old female with recurrent fever lasting 4 years underwent robot-assisted partial nephrectomy for small renal cell carcinoma. Histological findings led to the diagnosis of intravascular large B-cell lymphoma, which involved the normal tissue of right kidney as well as clear cell renal cell carcinoma. She received six cycles of chemotherapy without major complications and achieved complete remission.
CONCLUSION
We encountered a rare case of synchronous intravascular lymphoma with renal cell carcinoma.
引言
血管内大B细胞淋巴瘤是一种罕见且侵袭性的结外大B细胞淋巴瘤。尽管血管内大B细胞淋巴瘤可侵犯多个器官，但肾脏受累情况鲜有报道。血管内淋巴瘤与肾细胞癌同时发生极为罕见。我们在此报告一例在机器人辅助下部分肾切除术中偶然发现的肾细胞癌合并血管内大B细胞淋巴瘤的病例。
病例介绍
一名69岁女性，反复发热4年，因小肾细胞癌接受机器人辅助下部分肾切除术。组织学检查结果诊断为血管内大B细胞淋巴瘤，累及右肾正常组织及透明细胞肾细胞癌。她接受了六个周期的化疗，无重大并发症，并实现了完全缓解。
结论
我们遇到了一例罕见的肾细胞癌合并血管内淋巴瘤的病例。
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