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題名 | Synchronous Ipsilateral Renal Cell and Transitional Cell Carcinomas: A Case Report=同時單側腎細胞癌與移行上皮細胞癌:病例報告 |
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作者姓名(中文) | 柯千升; 郭漢崇; | 書刊名 | 臺灣泌尿科醫學會雜誌 |
卷期 | 17:2 民95.06 |
頁次 | 頁67-70 |
分類號 | 416.273 |
關鍵詞 | 腎癌; 腺瘤; 移行上皮細胞癌; Renal cancer; Adenocarcinoma; Transitional cell carcinoma; |
語文 | 英文(English) |
中文摘要 | 單側同時發生腎細胞癌與移行上皮細胞癌相當罕見,到2005年為止全世界的統計資料中僅有47位。我們報告一位78歲男性同時發生單側腎細胞癌與腎盂移行上皮細胞癌的病例。病患在10年前曾被診斷出右腎血管肌脂瘤 (angiomyolipoma) 但並未如期追蹤,6個月前以無症狀的血尿來求診,斷層掃描和血管攝影發現位於右腎下方有一個質地不均勻、突出的鈣化腫塊併有密集的微血管灌注,逆行性腎盂攝影則發現右上腎盂有顯影缺陷,尿液細胞學檢查亦證實有移行上皮細胞癌,在確認移行上皮細胞癌及懷疑腎細胞癌的前提下,幫病人施予右腎切除、輸尿管切除及膀胱袖口切除手術,術後病理報告顯示同時存在腎細胞癌及腎盂移行上皮細胞癌。 |
英文摘要 | The simultaneous occurrence of ipsilateral transitional cell carcinoma (TCC) and renal cell carcinoma (RCC) is rare. There are 47 such cases in the published literature worldwide. We report on a 78-year-old man with synchronous ipsilateral renal adenocarcinoma and renal pelvic TCC. He was referred to our department due to asymptomatic gross hematuria for 6 months. A computed tomographic scan and renal angiography revealed a 6-cm renal mass, which was exophytic, heterogeneous, and hypervascular in the lower pole of the right kidney. Retrograde pyelography demonstrated a filling defect in the upper calyces of the right kidney. Under the impression of TCC by urine cytology and suspicion of RCC, a right nephroureterectomy and bladder cuff resection were performed. Pathological diagnosis revealed a grade 2 TCC and clear-cell RCC. |
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