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摘要


腎細胞癌在兒童時期是極罕見的腫瘤,在此報告一位7歲的男孩,開始表現症狀是發燒和右腰疼痛。影像檢查發現在右腎有一個實質硬塊,在右肺中葉有轉移性結節,經右腎及右肺中葉切除,病理檢查證明是腎細胞癌,主要由明亮細胞構成。雖屬於第四級轉移癌且未接受化學和放射線治療,病患目前仍然存活。我們強調在腎臟實質腫瘤,特別是大小孩及青春期之孩童必須把腎細胞癌列入鑑別診斷。

關鍵字

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並列摘要


Renal cell carcinoma is extremely rare in children. A case is reported here of renal cell carcinoma in a seven-year-old boy whose clinical manifestations were fever and right loin pain. Imaging studies revealed a solid mass in the right kidney and a metastatic nodule over the middle lobe of the right lung. Right nephrectomy and middle lobectomy of the right lung were performed. Pathologic examination revealed a renal cell carcinoma with predominance of clear cells. Despite stage IV, the patient is still alive without chemotherapy and radiotherapy. It should be emphasized that renal cell carcinoma should be included in the differential diagnosis of pediatric renal solid masses, particularly in older children and adolescents.

並列關鍵字

renal cell carcinoma childhood

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