Gotoh M, Yoshikawa Y, Sakakibara T, Kobayashi M, Kinukawa T, Ono Y
Department of Urology, Hekinan Municipal Hospital.
Nihon Hinyokika Gakkai Zasshi. 1993 Dec;84(12):2158-61. doi: 10.5980/jpnjurol1989.84.2158.
We report on a case of renal cell carcinoma in a functionally solitary kidney, treated by ex vivo partial nephrectomy and autotransplantation. A 62-year-old woman was admitted for examination of a left renal mass and right hydronephrosis, incidentally detected on echography and CT scan. The right hydronephrosis was caused by congenital ureteropelvic junction obstruction, associated with severely impaired renal function. A solid tumor was found in the left kidney, located in the upper pole and extending to the hilus, and was suspected to be renal cell carcinoma. The patient was treated by ex vivo partial nephrectomy of the left kidney followed by autotransplantation. The tumor was 35 x 55 x 40 mm in size and diagnosed histologically to be renal cell carcinoma. Hemodialysis was unnecessary since good urine output was obtained postoperatively from the transplanted kidney. The patient was discharged 3 months after surgery, following interferon-alpha therapy, with serum creatinine level of 1.4 mg/dl.
我们报告一例功能上孤立肾的肾细胞癌患者，采用离体部分肾切除术和自体肾移植进行治疗。一名62岁女性因检查左肾肿物和右肾积水入院，这是在超声检查和CT扫描时偶然发现的。右肾积水由先天性输尿管肾盂连接部梗阻引起，伴有严重肾功能损害。在左肾发现一个实性肿瘤，位于上极并延伸至肾门，怀疑为肾细胞癌。患者接受了左肾离体部分肾切除术，随后进行自体肾移植。肿瘤大小为35×55×40mm，组织学诊断为肾细胞癌。术后移植肾尿量良好，无需进行血液透析。患者在手术后3个月接受α干扰素治疗后出院，血清肌酐水平为1.4mg/dl。
