Rahman Adib, Matheson Daniel, Perry-Keene Joanna, Desai Devang
Department of Urology, Toowoomba Base Hospital, Queensland Health, Queensland, Australia.
Department of Pathology, Sunshine Coast University Hospital, Birtinya, Queensland, Australia.
Urol Case Rep. 2024 Mar 9;54:102698. doi: 10.1016/j.eucr.2024.102698. eCollection 2024 May.
A 71-year-old male presented to Urology with three weeks of overt haematuria and increasing lethargy. Contrast-enhanced CT scans revealed an 8 × 6cm partially exophytic lesion in the left kidney's upper pole, extending beyond the capsule and invading the superior cortical vein, accompanied by abnormal retrocrural lymph nodes. Signs of paraneoplastic syndrome prompted a left radical nephrectomy for symptom relief. Histological analysis identified high-grade collecting duct renal carcinoma and invasive urothelial cell carcinoma. Post-surgery, he was referred for oncological treatment but passed away within two months of the initial diagnosis.
一名71岁男性因三周肉眼血尿和日益加重的乏力症状前往泌尿外科就诊。增强CT扫描显示左肾上极有一个8×6cm的部分外生性病变，超出肾包膜并侵犯上皮质静脉，伴有膈脚后淋巴结异常。副肿瘤综合征的体征促使进行左肾根治性切除术以缓解症状。组织学分析确定为高级别集合管肾癌和浸润性尿路上皮癌。术后，他被转诊接受肿瘤治疗，但在初次诊断后的两个月内去世。
