Tsujimura A, Imazu T, Nishimura K, Sugao H, Oka T, Takaha M, Takeda M, Kurata A
Department of Urology, Osaka National Hospital.
Hinyokika Kiyo. 1993 Nov;39(11):1039-42.
A case of renal cell carcinoma effectively treated by interferon-alpha and the embolization of the left renal artery is reported. A 69-year-old man was referred to us because of a left renal mass. We made a diagnosis of a left renal tumor with tumor thrombus in the renal vein and inferior vena cava, and multiple lung metastases by imaging examinations. At first the embolization of the left renal artery was selected and interferon-alpha treatment was performed for 3 months. At 3 months after the embolization, the metastatic lung tumors had completely disappeared and the left renal tumor and the tumor thrombus were reduced in size, so that left radical nephrectomy was performed. Pathological examination revealed that a small part of the tumor was viable renal cell carcinoma. After the operation, interferon-alpha treatment has been continued for 15 months and recurrence and metastasis have not been detected.
报告了一例通过α-干扰素和左肾动脉栓塞有效治疗的肾细胞癌病例。一名69岁男性因左肾肿物被转诊至我院。通过影像学检查,我们诊断为左肾肿瘤伴肾静脉及下腔静脉瘤栓形成,并有多发肺转移。起初选择了左肾动脉栓塞,并进行了3个月的α-干扰素治疗。栓塞后3个月,肺转移瘤完全消失,左肾肿瘤及瘤栓体积缩小,于是进行了左肾根治性切除术。病理检查显示肿瘤的一小部分为存活的肾细胞癌。术后继续进行了15个月的α-干扰素治疗,未检测到复发和转移。