Kubota Y, Hibi H, Yanaoka M, Okishio N, Kasahara M, Naide Y
Department of Urology, Shizuoka Red Cross Hospital.
Hinyokika Kiyo. 1996 Sep;42(9):671-5.
A 54-year-old woman was referred to our institute because of abdominal pain and constipation. The computed tomography of the abdomen revealed a 3 x 3 cm of low density tumor at the upper pole of the left kidney and para-aortic lymphadenopathy. Gastrointestinal investigation revealed no particular findings suggesting a carcinoid syndrome associated with the left kidney tumor. The specimen of the resected tumor showed staining pattern specific to carcinoid tumor; positive staining for chromogranin A and neuron-specific-enolase. Electron microscopy confirmed the presence of dense-core granules in the tumor cells. No evidence of metastasis or recurrence was noted for 13 months after the operation. This was a very rare case of primary renal carcinoid, representing the 26th case in the literature.
一名54岁女性因腹痛和便秘被转诊至我院。腹部计算机断层扫描显示左肾上极有一个3×3厘米的低密度肿瘤以及主动脉旁淋巴结病。胃肠道检查未发现提示与左肾肿瘤相关的类癌综合征的特殊发现。切除肿瘤的标本显示出类癌肿瘤特有的染色模式;嗜铬粒蛋白A和神经元特异性烯醇化酶染色呈阳性。电子显微镜证实肿瘤细胞中存在致密核心颗粒。术后13个月未发现转移或复发迹象。这是一例非常罕见的原发性肾类癌,是文献报道的第26例。