Aubert J, Vechambre D, Casamayou J
J Urol (Paris). 1980;86(4):267-70.
The authors report a case of necrosed carcinoma oif the kidney presenting clinically with fever and a large abdomino-lumbar palpable mass and developing thirty years after functional exclusion of the kidney by tuberculosis. The two particular features were: displacement by the tumour or calcifications in this known mastic kidney, and the poor vascularisation of a necrosed tumour irrigated by an artery of small calibre. The association of tuberculosis and carcinoima, although rare, is no less well known: discovery of a carcinoma in a nephrectomy specimen (for tuberculosis), discovery of tuberculosis in the parenchyma around a carcinoima of the kidney. The rarest possibility remains that of development of a carcinoma of the kidney in a kidney non-functioning and mastic for years, but is sufficiently rare not to be an argument in favour of the excision of all non-functional tuberculous kidneys after adequate antituberculous therapy.
作者报告了一例肾坏死性癌病例，临床上表现为发热和可触及的巨大腹腰部肿块，该病例在肾脏因结核而功能丧失30年后发生。两个特殊特征是：在这个已知的硬化肾中，肿瘤或钙化导致移位，以及由小口径动脉供血的坏死肿瘤血管化不良。结核病与癌症的关联虽然罕见，但同样广为人知：在肾切除术标本中发现癌症（因结核病），在肾癌周围的肾实质中发现结核病。最罕见的可能性仍然是在多年无功能且硬化的肾脏中发生肾癌，但这种情况极为罕见，不足以成为在充分抗结核治疗后切除所有无功能结核肾的理由。
