Fumino M, Matsuura H, Hayashi N, Arima K, Yanagawa M, Kawamura J
Department of Urology, Mie University School of Medicine.
Hinyokika Kiyo. 1998 May;44(5):319-21.
We report a rare case of renal cell carcinoma presenting as diplopia which was caused by a metastasis to the clivus. A 58-year-old man was admitted to our hospital with the chief complaint of diplopia. Head magnetic resonance imaging showed a mass in the clivus accompanied by bone destruction. Metastatic tumor to the skull base was suspected. Further examinations for the primary lesion revealed left renal cell carcinoma. He was relieved of diplopia by radiotherapy to the clivus and subsequently underwent left radical nephrectomy.
我们报告一例罕见的以复视为表现的肾细胞癌,其由斜坡转移所致。一名58岁男性因复视为主诉入院。头部磁共振成像显示斜坡有一肿块并伴有骨质破坏。怀疑为颅底转移瘤。对原发灶的进一步检查发现左肾细胞癌。通过对斜坡进行放射治疗,他的复视症状得到缓解,随后接受了左肾根治性切除术。