肾细胞癌对侧辜丸转移1例报告  

Renal cell carcinoma with contralateral testicular metastasis:a rare case report

作　　者：倪润峰 赖世聪 赵慧敏 胡浩[1] 徐涛[1] Ni Runfeng;Lai Shicong;Zhao Huimin;Hu Hao;Xu Tao(Department of Urology&The Institute of Applied Lithotripsy Technology,Peking University People's Hospital,Beijing 100044,China;Department of Pathology,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院泌尿外科北京大学应用碎石技术研究所,北京100044 [2]北京大学人民医院病理科,北京100044

出　　处：《中华泌尿外科杂志》2024年第11期871-872,共2页Chinese Journal of Urology

摘　　要：肾细胞癌发生对侧睾丸转移罕见,本文报道1例。患者既往因左侧肾透明细胞癌接受根治性左肾切除术。术后6年,出现右侧睾丸肿大,接受根治性睾丸切除术。根据术后病理结果,最终确诊为左侧肾细胞癌右侧睾丸转移。睾丸切除术后3个月患者开始接受阿昔替尼联合帕博利珠单抗治疗,至末次随访,患者已行5个周期联合治疗,未见复发转移。Metastasis of renal cell carcinoma to the contralateral testis is a rare occurrence,and we reported a case.The patient had previously undergone radical left nephrectomy for clear cell carcinoma of the left kidney.Six years postoperatively,he presented with enlargement of the right testis and subsequently underwent radical orchiectomy.The postoperative pathological results confirmed the diagnosis of metastasis from the left renal cell carcinoma to the right testis.Three months post-surgery,the patient initiated treatment with a combination of axitinib and pembrolizumab.At the last follow-up,the patient had completed five cycles of targeted and immunotherapy,and there was no evidence of recurrence or metastasis.

关 键 词：癌 肾细胞 睾丸转移 预后 

分 类 号：R737.11[医药卫生—肿瘤]