Haritha Annem, A Sri Balram, Murthy N Rama
College of Medicine, Mamata Academy of Medical Sciences, Bachupally, IND.
Department of Urology, Mamata Academy of Medical Sciences, Bachupally, IND.
Cureus. 2024 Dec 4;16(12):e75119. doi: 10.7759/cureus.75119. eCollection 2024 Dec.
This case series elucidates renal cell carcinoma characterized by three distinct presentations, necessitating individualized treatment strategies tailored to each specific circumstance. The three cases presented pertain to clear cell renal cell carcinoma. The first case involves a 44-year-old male patient with renal cell carcinoma in an ectopic kidney, an exceedingly rare occurrence with limited literature. An open transperitoneal radical nephrectomy was undertaken. The second case pertains to a 33-year-old male patient with renal cell carcinoma situated in the lower pole of the left kidney for which partial nephrectomy was planned and performed. The third case concerns a 57-year-old male patient with renal cell carcinoma found in the right lower pole of the kidney, involving invasion into the inferior vena cava (IVC). A radical nephrectomy with tumor thrombectomy was meticulously planned and successfully performed.
本病例系列阐明了具有三种不同表现形式的肾细胞癌，这需要针对每种具体情况制定个性化的治疗策略。所呈现的三个病例均为透明细胞肾细胞癌。首例病例为一名44岁男性患者，其异位肾患有肾细胞癌，这种情况极为罕见，相关文献有限。实施了开放性经腹根治性肾切除术。第二例病例是一名33岁男性患者，其左肾下极患有肾细胞癌，为此计划并实施了部分肾切除术。第三例病例涉及一名57岁男性患者，其右肾下极发现肾细胞癌，且已侵犯下腔静脉（IVC）。精心计划并成功实施了根治性肾切除术及肿瘤血栓切除术。
