Barbour G L, Casali R E
Urology. 1978 Dec;12(6):694-8. doi: 10.1016/0090-4295(78)90434-x.
A case is presented of a twenty-eight-year-old man in whom renal failure developed at age twenty-four from polycystic kidney disease known to be present since childhood. He also had cutaneous manifestations of the tuberous sclerosis complex. Intrarenal hemorrhage led to bilateral nephrectomy. Microscopic examination disclosed typical polycystic disease and multiple angiomyolipomas in each kidney. In addition several renal cell carcinomas of oncocytic, papillary, and clear cell type were found. Review of the literature disclosed the uncommon coexistence of any two of these lesions and did not uncover any reported case of the simultaneous existence of all three.
本文报告一例28岁男性患者,其在24岁时因自幼患有的多囊肾病发展为肾衰竭。他还患有结节性硬化症的皮肤表现。肾内出血导致双侧肾切除术。显微镜检查发现每个肾脏均有典型的多囊病和多个血管平滑肌脂肪瘤。此外,还发现了几例嗜酸细胞型、乳头型和透明细胞型肾细胞癌。文献回顾显示,这些病变中任意两种同时存在的情况并不常见,且未发现有报告同时存在所有三种病变的病例。