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題名 | Partical Nephrectomy for Incidental Primary Renal Neuroendocrine Carcinoma: Case Report=以部份腎切除術治療原發性腎臟神經內分泌癌:病例報告 |
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作者 | 陳煜; 莊正鏗; 朱聖賢; 吳桂芳; 廖順奎; Chen, Yu; Chuang, Cheng-keng; Chu, Sheng-hsien; Ng, Kwai-fong; Liao, Shuen-kuei; |
期刊 | 長庚醫學 |
出版日期 | 19990600 |
卷期 | 22:2 1999.06[民88.06] |
頁次 | 頁277-281 |
分類號 | 416.273 |
語文 | eng |
關鍵詞 | 腎臟; 類癌瘤; 神經內分泌癌; 免疫組織化學; 部份腎切除術; Kidney; Carcinoid tumor; Neuroendocrine carcinoma; Immunohistochemistry; Partial nephrectomy; |
中文摘要 | 我們在此報告1例83歲老婦人,因左側腰痛併少尿3天而轉診本院。腹部X光和腎臟 超音波檢查發現一結石卡於左側輸尿管腎盂交接處,並引起阻塞性腎病變。經輸尿管導管引 流 5 天後,血清中之肌肝值從 7.6 mg/dl 降至 3.1 mg/dl。在病人接受腎盂切開取石術過 程中,一 2 × 1 × 1 cm 位於左腎下極之腫瘤被意外發現。雖然切片檢查證實為一癌瘤, 但在考慮病人的高齡和腎功能不彰情況下,我們只施予部份腎切除術。最後的病理報告併免 疫組織化學染色法證實為一腎臟神經內分泌癌。這是首例以保守性外科手術治療原發性腎臟 神經內分泌癌。 在連續追�j 2.5 年後, 病人不單保有可接受的腎臟功能 (肌肝值: 2.5 mg/dl),且並無癌瘤復發之跡象。 |
英文摘要 | Here we present an 83-year-old woman who was referred to our hospital and had had left flank pain and oligouria for 3 days. Plain abdominal film and ultrasonography revealed left ureteropelvic junction stone with obstructive uropathy. The serum level of creatinine fell to 3.1 mg/dl from 7.6 mg/dl after ureteral catheter drainage was given 5 days after admission. Then a left pyelolithotomy was performed and a tumor of 2 × 1 × 1 cm over the lower pole of the left kidney was found incidentally. Partial nephrectomy was performed in consideration of her age and poor renal function although the biopsy result showed it to be carcinoma. The final pathological report and immunohistochemical study results proved that it was neuroendocrine carcinoma. To our knowledge, this is the first case of primary renal neuroendocrine carcinoma to be treated using conservative surgery. The clinical course was acceptable, since she had been found to be free of disease during regular follow-up of 2.5 years with the creatinine level of about 2.5 mg/dl. |
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