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Transitional Cell Carcinoma of the Renal Pelvis with Extension into the Inferior Vena Cava: A Report of Two Cases

腎盂移形性上皮細胞癌合併下腔靜脈轉移

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摘要


在所有腎臟惡性腫瘤當中,約有10-15%是由腎盂而來,其中又有90-92%是移形性上皮細胞癌。然而腎盂移形性上皮細胞癌合併下腔靜脈轉移是非常少見的案例,我們報告2例腎盂移形性上皮細胞癌合併下腔靜脈轉移的病例,其中1例僅獲得細胞學診斷。腎盂移形性上皮細胞癌合併下腔靜脈轉移是相當惡性之階段,預後很差,雖接受根治性手術,大部分患者仍在診斷後6個月內死亡。經由這2個病例及回顧文獻之報告,在診斷合併下腔靜脈轉移的患者,移形性上皮細胞癌仍應被列入鑑別診斷之中。

並列摘要


Of all primary malignant renal tumors, 10% to 15% originate from the renal pelvis, and 90% to 92% of these tumors are transitional cell carcinomas. Nonetheless, renal pelvis transitional cell carcinoma extending into the inferior vena cava is very rare. We report one confirmed case and one highly suspicious case of renal pelvis transitional cell carcinoma with a tumor thrombus in the inferior vena cava. Both of our patients died within 6 months of initial diagnosis, indicating the poor prognosis and advanced stage of transitional cell carcinoma with an inferior vena cava thrombus. Transitional cell carcinoma should be considered in patients with obstruction of the renal vein and the inferior vena cava.

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