Renal cell carcinoma metastasized to the ureteral stump.
Renal cell carcinoma metastasized to the ureteral stump.
复制标题
肾细胞癌转移至输尿管残端。
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
C. R. Yang
中科院分区：
文献类型：
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作者：
K. Chiu;H. Ho;J. T. Chen;Y. Kao;Y. Ou;C. Cheng;C. R. Yang
摘要本文报告一个罕见的肾细胞癌切除术后三个月发生输尿管残端转移的病例。患者女，62岁，因肾细胞癌于3个月前在我院行右肾根治性切除术，因肉眼血尿再次就诊。膀胱镜检查发现一个乳头状肿块，并有血管蒂从右侧输尿管口突出。经尿道切除膀胱肿瘤的右输尿管口，病理结果显示透明细胞腺癌，这有利于从以前的肾细胞癌转移病灶。此病患接受输尿管切除术及膀胱袖套切除术，但在残余输尿管上并未发现肿瘤残留。然而，患者在输尿管残端转移事件后36个月死于癌症。
A rare case of ureteral stump metastasis 3 months after nephrectomy for a renal cell carcinoma is presented. A 62-year-old female had undergone right radical nephrectomy 3 months earlier because of renal cell carcinoma in our hospital, and she came back due to gross hematuria. Cystoscopy revealed a papillary mass with a vascular pedicle protruding from the right ureteral orifice. Transurethral resection of the bladder tumor over right ureteral orifice was performed and the pathologic result showed clear cell adenocarcinoma, which argued in favor of a metastatic lesion from the previous renal cell carcinoma. Ureterectomy and a bladder cuff excision were then adopted for this patient, but no residual tumor was found over the remaining ureter. Nevertheless, the patient died of cancer 36 months after the event of ureteral stump metastasis.