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透明细胞肾细胞癌:局部复发与双侧肾上腺转移——病例报告

Clear Cell Renal Cell Carcinoma: Local Recurrence and Bilateral Adrenal Metastases - A Case Report.

作者信息

Popa Eliza-Maria, Manea Rosana, Birla-Coroiu Roxana-Elena

机构信息

Clinical and Emergency Hospital of Brasov, RO.

Transilvania University of Brasov, RO.

出版信息

J Belg Soc Radiol. 2022 May 6;106(1):42. doi: 10.5334/jbsr.2772. eCollection 2022.

Abstract

INTRODUCTION

Clear cell renal cell carcinoma is the most frequent type of renal cell carcinoma, which is often diagnosed incidentally in an advanced stage.

CASE HISTORY

We present the case of a 49-year-old man who presented to the emergency department with no specific symptoms. After computed tomography (CT) evaluation, the suspicion was raised of a left renal tumour. The aim of this case study is to underline the importance of rapid diagnosis and further investigation of clear cell renal cell carcinoma and the severity of this type of cancer.

CONCLUSIONS

Clear cell renal cell carcinoma has no specific symptoms. For the complete diagnosis and further monitoring, the use of CT is necessary.

TEACHING POINT

Clear cell renal cell carcinoma treated with partial nephrectomy can relapse near the surgical scar and progress with metachronous bilateral adrenal metastases, especially when close follow-up is not performed due to the pandemic situation.

摘要

引言

透明细胞肾细胞癌是肾细胞癌最常见的类型,常于晚期偶然被诊断出来。

病例史

我们报告一例49岁男性病例,该患者因无特定症状前往急诊科就诊。经计算机断层扫描(CT)评估后,怀疑为左肾肿瘤。本病例研究的目的是强调透明细胞肾细胞癌快速诊断及进一步检查的重要性以及此类癌症的严重性。

结论

透明细胞肾细胞癌无特定症状。为进行完整诊断及进一步监测,使用CT是必要的。

教学要点

接受部分肾切除术治疗的透明细胞肾细胞癌可在手术瘢痕附近复发,并出现异时性双侧肾上腺转移而进展,尤其是在因疫情形势而未进行密切随访的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ec1/9075045/27c9dabd112d/jbsr-106-1-2772-g1.jpg

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