Takei K, Mikami K, Naito H
Department of Urology, Numazu City Hospital.
Hinyokika Kiyo. 1997 Jul;43(7):491-4.
A 53-year-old woman was referred for further examination of a left renal cyst detected ultrasonographically during a health checkup. Computerized tomography (CT) scan and magnetic resonance imaging revealed an irregular cystic mass at the center of the left kidney as well as a calcified lesion at the left upper pole. Angiography and cyst puncture confirmed the cystic mass to be unilocular and benign. However, followup CT scan after 22 months demonstrated enlargement of the calcification into a ring-like configuration 3 cm in diameter. Since the lesion showed neovascularity on angiography, radical nephrectomy was performed. Histopathological diagnosis was renal cell carcinoma, alveolar type, common type at the center, but solid type, spindle cell type at the periphery.
一名53岁女性因健康体检时超声检查发现左肾囊肿而前来进一步检查。计算机断层扫描(CT)和磁共振成像显示左肾中心有一个不规则囊性肿块,左上极有一个钙化病灶。血管造影和囊肿穿刺证实囊性肿块为单房且良性。然而,22个月后的随访CT扫描显示钙化灶增大为直径3厘米的环状结构。由于该病灶在血管造影上显示有新生血管,遂行根治性肾切除术。组织病理学诊断为肾细胞癌,肺泡型,中心为常见类型,但周边为实性型、梭形细胞型。