Ikeda Taro, Matsumoto Kazunori, Hasegawa Go, Ikeda Yohei, Hara Noboru, Nishiyama Tsutomu
Department of Urology, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Minamiuonuma, Niigata, Japan.
Department of Radiation Engineering, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Minamiuonuma, Niigata, Japan.
Case Rep Urol. 2022 Jun 21;2022:4985041. doi: 10.1155/2022/4985041. eCollection 2022.
A 70-year-old male was diagnosed with urothelial carcinoma of the upper renal pelvis on the left side of the horseshoe kidney. Preoperative thin-slice contrast-enhanced CT with three-dimensional reconstruction of the images revealed that two arteries arising from the aorta supplied the left moiety of the horseshoe kidney. He underwent laparoscopic transperitoneal nephroureterectomy with heminephrectomy on the left side of the horseshoe kidney visualized by indocyanine green fluorescence system. The histopathological findings of the renal pelvic tumor revealed invasive urothelial carcinoma with squamous differentiation, high grade, and pT3.
一名70岁男性被诊断为马蹄肾左侧上肾盂尿路上皮癌。术前薄层增强CT及图像三维重建显示，两条发自主动脉的动脉供应马蹄肾左侧部分。在吲哚菁绿荧光系统辅助下，他接受了腹腔镜经腹肾输尿管切除术及马蹄肾左侧半肾切除术。肾盂肿瘤的组织病理学检查结果显示为浸润性尿路上皮癌伴鳞状分化、高级别，pT3期。
