Nagler J, McSherry C K, Miskovitz P
Division of Digestive Diseases, Cornell University Medical College, New York, New York.
Dig Dis Sci. 1994 Nov;39(11):2476-9. doi: 10.1007/BF02087669.
A case of asymptomatic metachronous metastatic unilateral renal cell adenocarcinoma to the gallbladder detected five years after resection of the primary renal neoplasm is reported here. The lesion was diagnosed by contrast enhancement of a gallbladder mass on abdominal computerized tomography scan and by color Doppler sonographic study of the gallbladder, both of which demonstrated the vascular supply to the intraluminal gallbladder mass. The biological behavior of renal cell adenocarcinoma is reviewed. Guidelines for the evaluation of intraluminal gallbladder masses are suggested.
本文报道了一例原发性肾肿瘤切除五年后出现的无症状异时性单侧肾细胞腺癌转移至胆囊的病例。通过腹部计算机断层扫描胆囊肿块的对比增强以及胆囊的彩色多普勒超声检查诊断出该病变，两者均显示了胆囊腔内肿块的血供。本文回顾了肾细胞腺癌的生物学行为。并提出了评估胆囊腔内肿块的指南。
