METASTASIZING RENAL-CELL CARCINOMA AND ACQUIRED RENAL CYSTIC-DISEASE IN A HEMODIALYSIS PATIENT

被引:6
作者
COVARSI, A [1 ]
RODRIGUEZ, AM [1 ]
MARIGLIANO, N [1 ]
NOVILLO, R [1 ]
机构
[1] GEN HOSP INSALUD,DEPT PATHOL,E-10002 CACERES,SPAIN
关键词
CYST; TUMOR; ACQUIRED RENAL CYSTIC DISEASE; HEMODIALYSIS;
D O I
10.1159/000168307
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
Acquired renal cystic disease is an entity which is characterized by the progressive substitution of the atrophic renal parenchyma by multiple cysts in patients with renal insufficiency. Its main complications are hemorrhage and tumorous degeneration. The case discussed is a 57-year-old patient with terminal renal insufficiency secondary to interstitial nephropathy, who, following 6 years of treatment with hemodialysis and renal transplantation, developed a state of persistent hematuria requiring nephrectomy of the left kidney. Histological study revealed multiple cysts of monostratified epithelium with intracavitary projections, multiform adenomas and multifocal malignant tumorous polymorphism. The patient died in a state of progressive cachexia with pleural and hepatic metastasis.
引用
收藏
页码:224 / 228
页数:5
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