Sugimoto K, Tsuji H, Negita M, Nagai N, Nose K, Kurita T
Department of Urology, Mimihara General Hospital.
Hinyokika Kiyo. 1998 Aug;44(8):587-9.
A case of Bellini duct carcinoma is reported. A 71-year-old woman visited our hospital with a chief complaint of lower abdominal pain. Computerized tomography, ultrasonography showed a mass lesion measuring about 5 cm in the right kidney. Angiography showed an avascular mass lesion in the right kidney. Right radical nephrectomy was performed under the diagnosis of renal cell carcinoma. Histological examinations showed Bellini duct carcinoma of the papillary type. We performed M-VAC (methotrexate, vinblastine, doxorubicin, icisplatin) therapy as is used for transitional cell carcinoma. She is alive with no evidence of disease 5 months after her surgical treatment. To our knowledge, only 32 cases of Bellini duct carcinoma have been reported in the Japanese literature.
报告一例肾乳头管癌病例。一名71岁女性因下腹部疼痛为主诉前来我院就诊。计算机断层扫描、超声检查显示右肾有一个约5厘米的肿块病变。血管造影显示右肾有一个无血管的肿块病变。在诊断为肾细胞癌的情况下进行了右根治性肾切除术。组织学检查显示为乳头型肾乳头管癌。我们采用了用于移行细胞癌的M-VAC（甲氨蝶呤、长春碱、阿霉素、顺铂）疗法。手术治疗5个月后，她仍存活且无疾病证据。据我们所知，日本文献中仅报道了32例肾乳头管癌病例。
