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中華民國泌尿科醫學會雜誌

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篇名 Renal Pelvis Stone with Choriocarcinoma: A Case Report
卷期 10:2
並列篇名 腎盂結石併絨毛膜癌:病例報告
作者 劉兆漢莊正鏗朱聖賢薛綏
頁次 87-90
關鍵字 絨毛膜癌腎臟過渡細胞癌滋養層choriocarcinomakidneytransitional cell carcinomatrophoblastTSCI
出刊日期 199906

中文摘要

腎盂絨毛膜癌是一種少見的疾病,大多數的病例是源自於其他原發癌轉移而來。並且好發於女性。本病例報告一位67歲男性病人因右側腎結石而轉來本院,住院後的理學檢查為右側肋骨下可摸到一個腫塊,而生殖器的檢查則是正常。腎臟超音波檢查發現除了嚴重腎水腫外,在腎盂部位也發現了一些不同回聲音質的腫塊。腹部電腦斷層顯示出右側腎盂腫塊併主動脈附近淋巴結腫大。病患接受經皮腎造廔取石術併腫瘤切片手術,病理報告顯示為絨毛膜癌。患者在術後接受化學治療,但是反應不好。患者在術後5個月因多處轉移而死亡。我們提出報告並回顧文獻。

英文摘要

Renal pelvis choriocarcinoma is rare. Most reported cases occurred in females secondary to metastasis from the primary lesion. Here we report a case of renal pelvis choriocarcinoma with renal stone in a 67-yr-old male. Upon physical examination, there was no definite testicular abnormality, and image studies revealed a right renal pelvis tumor with multiple metastasis of the tumor. The tumor was temporarily responsive to chemotherapy after percutaneous biopsy proved choriocarcinoma. The origin of primary renal pelvis choriocarcinoma remains unknown although transitional cell carcinoma with choriocarcinomatous differentiation has been proposed.

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