Renal cell carcinoma diagnosed by autopsy in a patient with acquired renal cystic disease undergoing long-term hemodialysis

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  • 生前診断が困難であった多嚢胞化萎縮腎に発生した腎細胞癌の１例
  • 症例報告 生前診断が困難であった多嚢胞化萎縮腎に発生した腎細胞癌の1例
  • ショウレイ ホウコク セイゼン シンダン ガ コンナン デ アッタ タノウホウカ イシュクジン ニ ハッセイ シタ ジンサイボウガン ノ 1レイ

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Abstract

A 66-year-old man who had been undergoing hemodialysis treatment for 27 years showed a refractory fever in November 2006, and was admitted to Kitasato University Hospital in December 2006. Multiple metastatic lesions of the bone, bilateral adrenal glands and peritoneum were revealed, although the original carcinoma lesion could be not found in the kidney, urinary tract, gastrointestinal tract, lung, heart, liver or gall bladder before he died in February 2007. Autopsy revealed a renal clear cell carcinoma with a diameter of 3.0×2.0 cm in the upper part of the right kidney. Renal clear cell carcinoma growing on aquired cystic disease of the kidney (ACDK) is difficult to see by conventional imaging techniques. Renal cell carcinoma should be considered in cases of ACDK.

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