Renal metastasis from primary hepatocellular carcinoma: a case report
Renal metastasis from primary hepatocellular carcinoma: a case report
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DOI：
10.1007/s13691-020-00409-3
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发表时间：
2020-03
影响因子：
0.7
通讯作者：
Ryoken Yamanaka;Yohei Sekino;T. Babasaki;H. Kitano;K. Ikeda;K. Goto;Keisuke Hieda;S. Inoue;Tetsutaro Hayashi;J. Teishima;H. Aikata;K. Chayama;K. Sentani;W. Yasui;A. Matsubara
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文献类型：
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作者：
Ryoken Yamanaka;Yohei Sekino;T. Babasaki;H. Kitano;K. Ikeda;K. Goto;Keisuke Hieda;S. Inoue;Tetsutaro Hayashi;J. Teishima;H. Aikata;K. Chayama;K. Sentani;W. Yasui;A. Matsubara
我们报告一个罕见的原发性肝细胞癌肾转移的病例。一位71岁男性的右肾肿块被发现的后续计算机断层扫描（CT）肝癌。他在18年前被诊断为原发性肝癌，并接受了部分肝切除术、经动脉化疗栓塞术和肺段切除术治疗原发性肝癌及其转移超过10年。8年后，随访CT显示右肾肿块，实验室检测显示维生素K缺乏II（PIVKA-II）诱导的蛋白质水平升高。我们施行腹腔镜根治性肾切除术的右肾肿块。组织学检查显示原发性HCC发生肾转移。迄今为止，只有少数病例报告的肾转移从肝癌。
We report a rare case of renal metastasis from primary hepatocellular carcinoma (HCC). A mass in the right kidney of a 71-year-old man was detected by follow-up computed tomography (CT) for HCC. He was diagnosed as having primary HCC 18 years ago and had undergone partial hepatectomy, transarterial chemoembolization, and pulmonary segmentectomy for primary HCC and its metastasis over 10 years. Eight years after this, follow-up CT revealed a right kidney mass, and laboratory testing showed an elevated level of protein induced by vitamin K absence II (PIVKA-II). We performed laparoscopic radical nephrectomy for the right kidney mass. Histopathology revealed renal metastasis from primary HCC. To date, only a small number of cases of renal metastasis from HCC have been reported.