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신세포암의 비전형적 전이

Unusual Metastasis in Renal Cell Carcinoma

대한비뇨기과학회지 2007년 48권 5호 p.548 ~ 551
곽재진 ( Kwak Jae-Jin ) - 동아대학교 의과대학 비뇨기과학교실

조성호 ( Cho Seong-Ho ) - 동아대학교 의과대학 비뇨기과학교실
서주형 ( Seo Ju-Hyung ) - 동아대학교 의과대학 비뇨기과학교실
조원열 ( Cho Won-Yeol ) - 동아대학교 의과대학 비뇨기과학교실
김수일 ( Kim Soo-IL ) - 강남비뇨기과

Abstract


Approximately one-third of all patients with renal cell carcinoma have metastasis at the time of diagnosis. Metastatic lesions of renal cell carcinoma are most commonly seen in the lung, and they are frequently seen in the bone and liver. However, spleen and rectal metastases are extremely rare. A 63-year-old man had undergone left radical nephrectomy for renal cell carcinoma. About 22 months later, computed tomography revealed multiple enhanced masses in the spleen. Spleen metastasis was suspected and splenectomy was then performed. One year later, the patient visited with complaints of voiding difficulty. A huge pelvic mass was detected by performing prostate ultrasonography and MRI. The mass was 13cm in diameter and it was between the rectum and the prostate. Removal of the pelvic mass and lower anterior resection with end colostomy was done. Histologically, the resected specimens were diagnosed as metastases from the renal cell cancer. Herein, we report on a case of metachronous splenic and rectal metastasis from renal cell carcinoma.(Korean J Urol 2007;48:548-551)

키워드

Renal cell carcinoma;Metastasis;Spleen;Rectum
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