Koutani A, Lechevallier E, André M, de Fromont M, Coulange C
Service d'Urologie et de Transplantation Rénale, Hôpital Salvator, Marseille, France.
Prog Urol. 1997 Dec;7(6):1002-3.
The objective of this paper is to report an exceptional case of solitary contralateral perirenal metastasis from a renal cell carcinoma. Investigation of this 62-year old patient, presenting with isolated haematuria, revealed a tumour, 9 cm in diameter, in the upper pole of the right kidney, associated with contralateral metastasis in the left perirenal fat. A right radical nephrectomy and left lumpectomy including the fat around the tumour were performed via a bilateral subcostal incision. Pathological staging was pT3b N0 M1, Fuhrman grade III. With a follow-up of eight months, this patient was asymptomatic with a normal radiological assessment.
本文的目的是报告一例肾细胞癌孤立性对侧肾周转移的罕见病例。对这位62岁因孤立性血尿就诊的患者进行检查发现，右肾上极有一个直径9厘米的肿瘤，并伴有左肾周脂肪的对侧转移。通过双侧肋下切口进行了右肾根治性切除术和左肿块切除术，包括肿瘤周围的脂肪。病理分期为pT3b N0 M1，Fuhrman分级为III级。随访8个月，该患者无症状，影像学评估正常。
