Watanabe S, Tanaka M, Nishizawa K, Moriguchi R
Department of Urology, Nerima General Hospital.
Hinyokika Kiyo. 1997 Oct;43(10):727-30.
A rare case of primary mucinous adenocarcinoma of the renal pelvis is reported. A 76-year-old woman was admitted to our hospital because of right abdominal fullness. Physical examination revealed a melon-sized (22 cm in diameter) tumor located in the middle and lower right quadrant of the abdomen. Computed tomography and transabdominal sonography revealed hydronephrosis and a renal stone. Retrograde pyelography was impossible because of ureteral obstruction on the right side. A diagnosis of severe hydronephrosis was made and a right nephrectomy was performed. The kidney measured 24 x 14 cm in size and contained 1,500 ml of mucinous material. The histological diagnosis was mucinous adenocarcinoma of the renal pelvis. The patient has had neither recurrence nor metastasis for 2 years following postoperative chemotherapy.
报道了一例罕见的肾盂原发性黏液腺癌病例。一名76岁女性因右腹部胀满入住我院。体格检查发现一个甜瓜大小(直径22厘米)的肿瘤位于腹部右中下象限。计算机断层扫描和经腹超声检查显示肾盂积水和肾结石。由于右侧输尿管梗阻,逆行肾盂造影无法进行。诊断为重度肾盂积水并进行了右肾切除术。切除的肾脏大小为24×14厘米,含有1500毫升黏液物质。组织学诊断为肾盂黏液腺癌。术后化疗后,患者2年未复发和转移。