両側腎腫瘍の1例

Abstract

A case of bilateral renal tumor was discussed. The case is a 44-year-old man who visited our clinic with the chief complaint of total gross hematuria on December 1., 1974. IVP showed the compression over the left middle portion, and nonvisualisation on the right kidney. Right retrograde pyelography showed the marked irregularity and deformity of the pyelogram. Bilateral selective angiography revealed that right kidney was enlarged and had tumor stain and hypervascularity, and left kidney had tumor stain at the middle portion. Right nephrectomy was performed on January 9, 1975 and left nephrectomy was done on January 30, 1975 by the lumbar incision separately. A-V shunt was constructed on the same time with secondary nephrectomy and hemodialysis was started 3 times per week. Right kidney weighed 996 grams and its pathological diagnosis was anaplastic renal cell carcinoma. Left kidney weighed 170 grams and its pathological finding was similar to the right kidney. The patient was discharged from the hospital without metastasis on June 16, 1975. No metastasis was found for 12 months postoperative period.