Connolly J, Eisner D, Goldman S, Stutzman R, Steiner M
James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland.
J Urol. 1993 Jun;149(6):1535-7. doi: 10.1016/s0022-5347(17)36439-x.
We report benign retroperitoneal fibrosis associated with renal cell carcinoma in a 56-year-old woman. Based on the preoperative evaluation and initial surgical exploration, the retroperitoneal mass was assumed to be metastatic renal cell carcinoma and chemotherapy rather than surgical resection was offered to the patient. A second opinion was sought and repeat exploration revealed a resectable cell carcinoma and retroperitoneal tissue that was pathologically benign idiopathic retroperitoneal fibrosis. This report emphasizes that a patient with an otherwise resectable primary tumor must undergo multiple, deep biopsies of retroperitoneal masses before making a presumptive diagnosis of malignant retroperitoneal fibrosis secondary to metastatic cancer.
我们报告了一例56岁女性中与肾细胞癌相关的良性腹膜后纤维化病例。基于术前评估和初步手术探查，该腹膜后肿块被认为是转移性肾细胞癌，因此向患者提供了化疗而非手术切除方案。寻求了第二种意见，再次探查发现了一个可切除的细胞癌以及病理检查为良性特发性腹膜后纤维化的腹膜后组织。本报告强调，对于患有原本可切除的原发性肿瘤的患者，在做出转移性癌症继发恶性腹膜后纤维化的推定诊断之前，必须对腹膜后肿块进行多次、深入的活检。
