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透明细胞肾细胞癌逆行及对侧转移至精索：一例报告

Retrograde and Contralateral Metastasis of Clear Cell Renal Cell Carcinoma to the Spermatic Cord: A Case Report.

作者信息

Hoang Joy M, Charania Munira, Quek Marcus L, Picken Maria M

机构信息

Department of Pathology, Loyola University Medical Center, Maywood, USA.

Department of Radiology, Loyola University Medical Center, Maywood, USA.

出版信息

Cureus. 2025 Aug 25;17(8):e90970. doi: 10.7759/cureus.90970. eCollection 2025 Aug.

DOI:10.7759/cureus.90970
PMID:41001325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12459916/
Abstract

Clear cell renal cell carcinoma (ccRCC) is known to display synchronous and metachronous metastases to a diverse set of organs. Retrograde and contralateral metastases of ccRCC are rare, with few cases in the literature. The mechanism of spread in these cases is thought to be facilitated by either the direct extension of tumor into the renal and gonadal veins or by the vertebral venous plexus. Here, we present a rare case of contralateral and retrograde ccRCC metastasis with extensive venous involvement.

摘要

已知透明细胞肾细胞癌（ccRCC）会出现向多种器官的同时性和异时性转移。ccRCC的逆行性和对侧转移很少见，文献中仅有少数病例。这些病例的扩散机制被认为是肿瘤直接延伸至肾静脉和性腺静脉，或通过椎静脉丛促成的。在此，我们报告一例罕见的伴有广泛静脉受累的对侧和逆行性ccRCC转移病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/6624f95159ff/cureus-0017-00000090970-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/494bd926d571/cureus-0017-00000090970-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/bc231ef0ab88/cureus-0017-00000090970-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/51c0216f03cd/cureus-0017-00000090970-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/6a4fc872ecd6/cureus-0017-00000090970-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/6624f95159ff/cureus-0017-00000090970-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/494bd926d571/cureus-0017-00000090970-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/bc231ef0ab88/cureus-0017-00000090970-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/51c0216f03cd/cureus-0017-00000090970-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/6a4fc872ecd6/cureus-0017-00000090970-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dac6/12459916/6624f95159ff/cureus-0017-00000090970-i05.jpg

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本文引用的文献

1
Renal Cell Carcinoma: A Review.肾细胞癌：综述。
JAMA. 2024 Sep 24;332(12):1001-1010. doi: 10.1001/jama.2024.12848.
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Testicular Metastasis from Renal Cell Carcinoma: A Systematic Review.肾细胞癌的睾丸转移：一项系统评价
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Renal Cell Carcinoma with Direct Extension into the Gonadal Vein, Uterus, Fallopian Tube, and Bilateral Ovaries: A Case Report.肾细胞癌直接侵犯性腺静脉、子宫、输卵管及双侧卵巢：一例报告
J Kidney Cancer VHL. 2020 Aug 14;7(3):1-4. doi: 10.15586/jkcvhl.2020.130. eCollection 2020.
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Detection of Circulating Tumor Cells in Renal Cell Carcinoma: Disease Stage Correlation and Molecular Characterization.肾细胞癌中循环肿瘤细胞的检测：疾病分期相关性及分子特征
J Clin Med. 2020 May 7;9(5):1372. doi: 10.3390/jcm9051372.
5
Case report of renal cell carcinoma metastasis to the spermatic cord and groin presenting as a bleeding groin mass.肾细胞癌转移至精索和腹股沟并表现为腹股沟出血性肿块的病例报告。
Urol Case Rep. 2018 Sep 12;21:83-85. doi: 10.1016/j.eucr.2018.09.006. eCollection 2018 Nov.
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A very rare case of renal cell carcinoma metastasis to spermatic cord and a condensed literature review.一例极为罕见的肾细胞癌转移至精索病例及文献综述
Int J Surg Case Rep. 2018;53:508-512. doi: 10.1016/j.ijscr.2017.12.027. Epub 2017 Dec 26.
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Can Urol Assoc J. 2014 Nov;8(11-12):E924-7. doi: 10.5489/cuaj.2209.
9
Renal veins and venous extension in clear cell renal cell carcinoma.透明细胞肾细胞癌中的肾静脉及静脉延伸
Mod Pathol. 2007 Jan;20(1):44-53. doi: 10.1038/modpathol.3800726. Epub 2006 Nov 17.
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Spermatic vein tumor thrombus in renal cell carcinoma.肾细胞癌中的精索静脉肿瘤血栓
ScientificWorldJournal. 2004 Jun 7;4 Suppl 1:192-4. doi: 10.1100/tsw.2004.67.