Two Different Renal Cell Carcinomas and Multiple Angiomyolipomas in a Patient with Tuberous Sclerosis

被引:9
作者
Kang, Sung Gu [1 ]
Ko, Young Hwii [1 ]
Kang, Seok Ho [1 ]
Kim, Jin [2 ]
Kim, Chul Hwan [3 ]
Park, Hong Seok [1 ]
Moon, Du Geon [1 ]
Lee, Jeong Gu [1 ]
Kim, Je Jong [1 ]
Cheon, Jun [1 ]
机构
[1] Korea Univ, Sch Med, Dept Urol, Seoul, South Korea
[2] Korea Univ, Sch Med, Dept Gen Surg, Seoul, South Korea
[3] Korea Univ, Sch Med, Dept Pathol, Seoul, South Korea
关键词
Angiomyolipoma; Clear cell renal carcinoma; Renal cell carcinoma; Tuberous sclerosis;
D O I
10.4111/kju.2010.51.10.729
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We report a case of tuberous sclerosis associated with two histologically different renal cell carcinomas (RCCs) and multiple angiomyolipomas (AMLs) in the same kidney. A 43-year-old female was admitted to our hospital with left flank pain and a huge palpable mass in the left flank area. Abdominal computed tomography revealed two concurrent RCCs and multiple AMLs in the left kidney. Because of the clinical suspicion of RCC, the patient underwent left radical nephrectomy. On gross examination, the total size of the resected left kidney was 30.5x17x8 cm. Microscopically, the upper pole tumor features were consistent with chromophobe RCC and the midpole tumor was a clear-cell RCC. The multifocal masses in the remaining remnant parenchyma were AMLs. Six months after surgery, the patient is healthy without signs of tumor recurrence.
引用
收藏
页码:729 / 732
页数:4
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