Cunningham J A, Fendler J P, Nichols P J, Skinner D G
Department of Urology, Kenneth Norris Jr. Cancer Hospital, Los Angeles, California.
Urology. 1994 Dec;44(6):924-6. doi: 10.1016/s0090-4295(94)80186-x.
Secondary involvement of the genitourinary tract with malignant melanoma is a common autopsy finding, but rarely evident clinically. We report a rare case involving a previously asymptomatic patient presenting with gross hematuria and a large renal mass, which was found to be metastatic melanoma. We propose that metastatic melanoma to the kidney, although rare, be considered in the differential diagnosis of disease processes causing hematuria.
恶性黑色素瘤泌尿生殖道的继发性受累是常见的尸检发现，但临床上很少明显。我们报告了一例罕见病例，一名既往无症状的患者出现肉眼血尿和一个大的肾肿块，结果发现是转移性黑色素瘤。我们建议，虽然肾脏转移性黑色素瘤罕见，但在引起血尿的疾病过程的鉴别诊断中应予以考虑。
