Ikeda D, Tokunaga S, Rahman M, Ohkawa M, Urayama H
Department of Urology, School of Medicine, Kanazawa University.
Hinyokika Kiyo. 1995 Jun;41(6):461-5.
We report a case of left renal cell carcinoma extending into the inferior vena cava associated with the acquired cystic disease of the kidney (ACDK). The patient was a 46-year-old man, who had been treated with hemodialysis for 12 years. In November 1992, ACDK was observed on computed tomography (CT) for routine check up, but no tumorous lesions were detected. He noticed bleeding from the urethra in May 1994. CT and magnetic resonance imaging (MRI) revealed left renal tumor with intrahepatic vena caval tumor thrombus. There were no findings of distant metastasis. Left radical nephrectomy and partial removal of vena cava were performed. Histopathologically, renal cell carcinoma, pT3b, pN0, stage III was diagnosed.
我们报告一例左肾细胞癌延伸至下腔静脉并伴有获得性肾囊肿疾病（ACDK）的病例。患者为一名46岁男性，已接受血液透析治疗12年。1992年11月，在进行计算机断层扫描（CT）常规检查时发现了ACDK，但未检测到肿瘤性病变。1994年5月，他注意到尿道出血。CT和磁共振成像（MRI）显示左肾肿瘤伴有肝内腔静脉瘤栓。未发现远处转移的迹象。实施了左根治性肾切除术和部分腔静脉切除术。组织病理学诊断为肾细胞癌，pT3b，pN0，III期。
