肾集合管癌并发透明细胞癌一例报告  

Renal collecting duct carcinoma complicated with clear cell carcinoma of kidney:one case report

作　　者：董昔山 林观生 马周鹏 王伟[2] Dong Xishan;Lin Guansheng;Ma Zhoupeng;Wang Wei(Department of Radiology,Jinshan Branch of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201501,China;Department of Urology,Jinshan Branch of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201501,China;Department of Radiology,the Second People's Hospital of Pinghu city,Pinghu 314200,China)

机构地区：[1]上海中医药大学附属龙华医院金山分院放射科,上海201501 [2]上海中医药大学附属龙华医院金山分院泌尿外科,上海201501 [3]浙江省平湖市第二人民医院放射科,平湖314200

出　　处：《中华泌尿外科杂志》2021年第12期941-943,共3页Chinese Journal of Urology

摘　　要：肾集合管癌临床罕见,与透明细胞癌并发更罕见。本文报道1例肾集合管癌并发透明细胞癌患者,因左腰痛及肉眼血尿于2019年9月15日入院,术前CT检查发现左肾上中部和下极各1个肿瘤,肾内侧缘多个肿大淋巴结,CT诊断为肾集合管癌并发透明细胞癌,腹膜后淋巴结转移,行根治性左肾切除术。术后病理诊断左肾集合管癌(中上极)合并透明细胞癌(下极)。术后采用舒尼替尼治疗6个月,随访至术后13个月因肿瘤广泛转移死亡。Renal collecting duct carcinoma(CDC)is rare in clinic,complicated with clear cell renal cell carcinoma(ccRCC)of one kidney is extremely rare.We reported a case CDC complicated with ccRCC of one kidney.The patient was admitted as left low back pain and gross hematuria,preoperative CT examination showed that one tumor was found in the upper middle pole and another tumor at lower pole of the left kidney,and multiple enlarged lymph nodes in the medial edge of the kidney.CT diagnosis was renal collecting duct carcinoma complicated with clear cell carcinoma of the left kidney,retroperitoneal lymphatic metastasis and underwent radical nephrectomy.Postoperative pathological diagnosis was CDC(upper middle pole)complicated with ccRCC(lower pole)of the left kidney.The patients were treated with sunitinib for 6 months and survived 13 months,and died of extensive metastasis.

关 键 词：肾肿瘤 集合管癌 透明细胞癌 治疗 

分 类 号：R737.11[医药卫生—肿瘤]