Jonsson K, Hellsten S, Lindholm C E, Bondestam S
Scand J Urol Nephrol. 1980;14(1):122-4. doi: 10.3109/00365598009181204.
Vaginal metastasis from a renal cell carcinoma appeared 23 years after the primary surgery in a 64-year-old female. At angiographic work-up local recurrence in the renal fossa and liver metastasis were demonstrated. These findings indicated radiation treatment instead of radical surgery of the vaginal metastasis, which primarily was though to be solitary. Angiography and/or computorized tomography (CT) of the retroperitoneal space and the liver should be performed in patients with late and presumed solitary metastasis from a renal cell carcinoma before radical surgery of the metastasis is attempted.
一名64岁女性在原发性肾细胞癌手术后23年出现阴道转移。血管造影检查显示肾窝局部复发和肝转移。这些发现表明应采用放射治疗而非对阴道转移灶进行根治性手术，最初认为该转移灶为孤立性。对于晚期且推测为孤立性肾细胞癌转移的患者，在尝试对转移灶进行根治性手术之前，应进行腹膜后间隙和肝脏的血管造影和/或计算机断层扫描（CT）。
