Vella R, Manini C, Piccoli F, Revelli G
Divisione di Chirurgia, USSL 32 Ospedale Santa Croce, Moncalieri, Torino.
Minerva Urol Nefrol. 1995 Mar;47(1):43-7.
A case of squamous cell carcinoma of renal pelvis is reported. A 73-year-old Caucasian male complained of macrohematuria. The echography and Computer Tomography scan of the abdomen and pelvis revealed a large tumor mass in the right kidney associated with lymphadenopathy. A nephrectomy of the right kidney and lymphadenectomy were performed. The isotologic examination revealed a squamous carcinoma of the renal pelvis involving the renal parenchyma and extending to the perirenal fat. The regional lymph nodes were also involved. Neoplastic invasion of inferior vena cava was found. Squamous carcinoma in situ and squamous metaplasia were noted in the urothelium adjacent to the tumor. Three months later an echography revealed a local recurrence of the disease. The patient underwent adjuvant chemotherapy. The aggressive course of the disease is in agreement with the poor prognosis of squamous carcinomas of the renal pelvis as previously reported in the literature.
报告一例肾盂鳞状细胞癌病例。一名73岁的白种男性主诉肉眼血尿。腹部和盆腔的超声及计算机断层扫描显示右肾有一个大肿瘤块,伴有淋巴结病。行右肾切除术和淋巴结切除术。组织学检查显示肾盂鳞状细胞癌累及肾实质并延伸至肾周脂肪。区域淋巴结也受累。发现肿瘤侵犯下腔静脉。在肿瘤相邻的尿路上皮中发现原位鳞状细胞癌和鳞状化生。三个月后,超声显示疾病局部复发。患者接受了辅助化疗。该疾病的侵袭性病程与文献中先前报道的肾盂鳞状细胞癌的不良预后一致。