Gilloz A, Le Meur P, Héritier P, Richard A, Rousset H, Estour B, Boudarel J
J Urol (Paris). 1986;92(3):165-9.
About a case of Von Hippel-Lindau syndrome with association of retinal angioma, bilateral pheochromocytomas, bilateral renal cysts, the authors had many difficulties to confirm associated unilateral renal cell carcinoma. Three solid left renal tumors were not seen neither with abdominal ultrasound, nor with CT scan, but only with hypervascularity on renal angiography. Even intra-operative histologic examination fail to confirm the malignity. After the complete histologic examination of the tumorectomy piece, the unilateral renal cell carcinoma was secondary managed by radical nephrectomy, although the risk of bilateral carcinoma is known in this disease.
关于一例伴有视网膜血管瘤、双侧嗜铬细胞瘤、双侧肾囊肿的冯·希佩尔-林道综合征患者,作者在确诊相关的单侧肾细胞癌时遇到了诸多困难。左侧肾脏的三个实性肿瘤在腹部超声和CT扫描中均未发现,仅在肾血管造影中显示为血管丰富。即使术中组织学检查也未能证实其恶性。在对肿瘤切除标本进行完整的组织学检查后,尽管已知该病存在双侧癌变的风险,但单侧肾细胞癌最终还是通过根治性肾切除术进行了二期治疗。