生前診断が困難であった多嚢胞化萎縮腎に発生した腎細胞癌の1例  [in Japanese] Renal cell carcinoma diagnosed by autopsy in a patient with acquired renal cystic disease undergoing long-term hemodialysis  [in Japanese]

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Author(s)

Abstract

症例は66歳の男性.慢性糸球体腎炎による末期腎不全のために1981年より外来維持血液透析を受けていた.2006年11月に39度台の発熱がみられ,胆道感染症の診断で抗菌薬投与を受けるも改善がなく,同年12月に当院へ入院となった.熱源検索のために行った腹部超音波,CT,MRI,骨シンチグラフィーにて右腸骨,肋骨,椎体,両側副腎,腹膜に癌の転移巣を発見した.一方,消化管,肝,胆,膵,脾,呼吸器,循環器,腎尿路などの検索で,原発巣を診断できなかった.2007年2月に永眠され,病理解剖を行ったところ,右腎原発の径3×2 cm大の淡明細胞癌が診断された.多嚢胞化萎縮腎に発生した腎細胞癌の一部は画像診断が困難な場合があることを考慮し十分な検索が必要である.

A 66-year-old man who had been undergoing hemodialysis treatment for 27 years showed a refractory fever in November 2006, and was admitted to Kitasato University Hospital in December 2006. Multiple metastatic lesions of the bone, bilateral adrenal glands and peritoneum were revealed, although the original carcinoma lesion could be not found in the kidney, urinary tract, gastrointestinal tract, lung, heart, liver or gall bladder before he died in February 2007. Autopsy revealed a renal clear cell carcinoma with a diameter of 3.0×2.0 cm in the upper part of the right kidney. Renal clear cell carcinoma growing on aquired cystic disease of the kidney (ACDK) is difficult to see by conventional imaging techniques. Renal cell carcinoma should be considered in cases of ACDK.

Journal

  • Nihon Toseki Igakkai Zasshi

    Nihon Toseki Igakkai Zasshi 42(6), 465-469, 2009-06-28

    The Japanese Society for Dialysis Therapy

References:  12

Codes

  • NII Article ID (NAID)
    10025192739
  • NII NACSIS-CAT ID (NCID)
    AN10432053
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    13403451
  • NDL Article ID
    10357190
  • NDL Source Classification
    ZS39(科学技術--医学--皮膚科学・泌尿器科学)
  • NDL Call No.
    Z19-1413
  • Data Source
    CJP  NDL  J-STAGE 
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