Tsujihata M, Tsuboniwa N, Miyake O, Itoh H, Itatani H
Department of Urology, Sumitomo Hospital.
Hinyokika Kiyo. 1995 Jul;41(7):541-3.
We report a 65-year-old man with a multilocular cystic renal cell carcinoma which was found incidentally. Computed tomography (CT) demonstrated a 3.0 cm x 3.0 cm multilocular cystic mass at the upper pole of the left kidney. Dynamic MRI demonstrated that the septic wall of the multilocular cystic mass was enhanced. Renal angiography showed a hypovascular tumor. We diagnosed that the tumor was multilocular cystic renal cell carcinoma with a tumor capsule and performed tumor enucleation. The histopathological examination showed that the cystic and septic wall consisted of renal cell carcinoma, clear cell subtype, grade 1. From the review of the literature, the prognosis of multilocular cystic renal cell carcinoma was good, so we selected nephron sparing surgery for this case.
我们报告一例65岁男性偶然发现的多房囊性肾细胞癌。计算机断层扫描(CT)显示左肾上极有一个3.0 cm×3.0 cm的多房囊性肿块。动态磁共振成像(MRI)显示多房囊性肿块的分隔壁有强化。肾血管造影显示肿瘤血管较少。我们诊断该肿瘤为有肿瘤包膜的多房囊性肾细胞癌,并进行了肿瘤剜除术。组织病理学检查显示,囊性和分隔壁由肾细胞癌组成,为透明细胞亚型,1级。经文献复习,多房囊性肾细胞癌预后良好,因此我们为此病例选择了保留肾单位手术。