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A Case of Synchronous Contralateral Ureteral Transitional Cell Carcinoma and Renal Cell Carcinoma

輸尿管移形細胞癌合併對側腎細胞癌

摘要


一80歲女性病人因血尿發現左側輸尿管腫瘤,同時發現左側腎腎腫瘤,患者接受手助式左側腹腔鏡腎臟摘除術及右側局部輸尿管切除術。病理報告為右側輸尿管移形細胞癌和左腎腎細胞癌。同時出現移形細胞癌及對側腎細胞癌適相當罕見的。因此假使有惡性腫瘤的可能性,仔細評估整個泌尿系統是相當重要的。如診斷確定後必須針對這類病人作個別的治療。

關鍵字

同時 腎細胞癌 移形細胞癌

並列摘要


We report on a 80-year-old woman presenting with gross hematuria who was found to have right ureteral transitional cell carcinoma (TCC) and synchronous left renal cell carcinoma (RCC). Laparoscopic left radical nephrectomy with hand assistance and open right partial ureterectomy were performed. Pathology showed right ureteral TCC and left RCC. The simultaneous occurrence of contralateral TCC and RCC is very unusual. However, evaluation of the whole urinary tract is necessary if malignancy is suspected. After the diagnosis is confirmed, an individualized approach must be undertaken for each patient.

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