Kurizaki Y, Ishizuka O
Department of Urology, Kofu Municipal Hospital.
Nihon Hinyokika Gakkai Zasshi. 1998 Aug;89(8):734-7. doi: 10.5980/jpnjurol1989.89.734.
A 17-year-old woman was admitted to our hospital for the investigation of asymptomatic gross hematuria. Twenty nine months ago, she had received the right lower lobectomy because of the malignant salivary gland type mixed tumor of the bronchus. The intravenous pyelography and the right retrograde pyelography showed the irregular wall of the right renal pelvis. The computerized tomography showed a hypodense tumor which occupied the lower half of the right kidney. Cystoscopy showed bleeding from the right ureteral orifice. Chest X-ray revealed multiple lung metastases at the first examination, but right nephrectomy was performed because gross hematuria continued. The tumor thrombus, which spreaded into vena cava, was removed. The pathological diagnosis was the metastatic renal tumor of malignant salivary gland type mixed tumor. The patient died 102 days postoperatively.
一名17岁女性因无症状肉眼血尿入院接受检查。29个月前，她因支气管恶性唾液腺型混合瘤接受了右下肺叶切除术。静脉肾盂造影和右侧逆行肾盂造影显示右肾盂壁不规则。计算机断层扫描显示一个低密度肿瘤占据右肾下半部。膀胱镜检查显示右侧输尿管口出血。首次检查时胸部X线显示多发肺转移，但因持续肉眼血尿仍进行了右肾切除术。切除了延伸至腔静脉的肿瘤血栓。病理诊断为恶性唾液腺型混合瘤转移性肾肿瘤。患者术后102天死亡。
