Schubert R A, Söldner J, Steiner T, Schubert J, Kaiser W A
Institute for Diagnostic and Interventional Radiology, Jena, Germany.
Eur Radiol. 1998;8(9):1694-7. doi: 10.1007/s003300050615.
Renal cell carcinoma in a horseshoe kidney is an unusual entity. To our knowledge, only 123 cases have been published to date. We report the first bilateral case of two clear-cell carcinomas in an asymmetrically fused kidney. Optimum preservation of renal function after radical tumor removal requires accurate preoperative imaging. Since the vascular supply in fusion anomalies is extremely variable, angiography is mandatory. Magnetic resonance imaging was most suitable to predict the tumor extent and localization, because it simultaneously gave the most comprehensive anatomical overview of the malformation.
马蹄肾中的肾细胞癌是一种罕见的病症。据我们所知，迄今为止仅发表了123例相关病例。我们报告了首例发生在不对称融合肾中的双侧透明细胞癌病例。根治性肿瘤切除术后要想最佳地保留肾功能，需要进行准确的术前影像学检查。由于融合畸形中的血管供应变化极大，血管造影是必不可少的。磁共振成像最适合预测肿瘤范围和定位，因为它同时能提供关于该畸形最全面的解剖结构概述。
