Ishizaki Masanori, Hasumi Masaru, Muramatsu Kazumichi, Iijima Misa, Shimizu Nobuaki
Department of Urology, Gunma Prefectural Cancer Center, Japan.
Department of Pathology, Gunma Prefectural Cancer Center, Japan.
Urol Case Rep. 2025 Mar 3;60:102996. doi: 10.1016/j.eucr.2025.102996. eCollection 2025 May.
Diagnostic and treatment guidelines for renal medullary carcinoma are not established. A 52-year-old Japanese woman presented to her general physician with symptoms of cough and respiratory distress. A primary malignant tumor of the right kidney and multiple metastases were suspected during imaging; therefore, she was referred to our department for consultation. The results of a computed tomography-guided tumor biopsy revealed a diagnosis of renal medullary carcinoma without sickle cell hemoglobinopathy. This case was atypical because renal medullary carcinoma was not accompanied by sickle cell hemoglobinopathy and the patient was Japanese.
肾髓质癌的诊断和治疗指南尚未确立。一名52岁的日本女性因咳嗽和呼吸窘迫症状就诊于她的全科医生。影像学检查怀疑右肾原发性恶性肿瘤并伴有多处转移;因此,她被转诊至我科咨询。计算机断层扫描引导下的肿瘤活检结果显示诊断为无镰状细胞血红蛋白病的肾髓质癌。该病例不典型,因为肾髓质癌未伴有镰状细胞血红蛋白病且患者为日本人。