肾细胞癌小肠转移致梗阻的病例报道及文献分析
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摘要
肾细胞癌(RCC)占所有恶性肿瘤的2%～3%。25%～30%的患者在肾细胞癌诊断时即有转移,还有20%～30%在原发病灶治疗后的随访过程中出现转移,仅4%的肾细胞癌转移到小肠。在既往的文献中,肾细胞癌转移到小肠多以个案形式报道,本文报道了1例85岁的老年男性,左肾癌根治性切除后8年出现小肠转移的病例。本文于PubMed、Embased数据库和中文数据库中进行检索,对肾细胞癌原发病灶治疗后小肠转移的病案报道进行回顾。
Renal cell carcinoma(RCC) accounts for about 2%-3% of all malignant tumors. 25%-30% patients had metastases at the time of diagnosis of RCC, and 20%-30% patients have metastases during follow-up after treatment of primary lesion. Only 4% RCC metastasizes to the small intestine. In previous literature, renal cell carcinoma metastasis to the small intestine is mostly reported as a isolated case. This article presents a case of 85-year-old man with small intestine metastases, eight years after the radical resection of left kidney for RCC. This artile searches in PubMed, Embase and Chinese database and reviews the medical records of small intestine metastasis after treatment of primary renal cell carcinoma.
Renal cell carcinoma(RCC) accounts for about 2%-3% of all malignant tumors. 25%-30% patients had metastases at the time of diagnosis of RCC, and 20%-30% patients have metastases during follow-up after treatment of primary lesion. Only 4% RCC metastasizes to the small intestine. In previous literature, renal cell carcinoma metastasis to the small intestine is mostly reported as a isolated case. This article presents a case of 85-year-old man with small intestine metastases, eight years after the radical resection of left kidney for RCC. This artile searches in PubMed, Embase and Chinese database and reviews the medical records of small intestine metastasis after treatment of primary renal cell carcinoma.
引文
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[19]Eo WK,Kim GY,Choi SI.A case of multiple intussusceptions in the small intestine caused by metastatic renal cell carcinoma[J].Cancer Res Treat,2008,40(2):97-99.
[20]Ogiso S,Maeno A,Nagahama K,et al.Small intestinal metastases from renal cell carcinoma:a case report and literature review[J].Hinyokika Kiyo,2005,51(1):13-16.
[21]Willis RA.Secondary tumors of the intestine[J].Butter worth&Co,973:209-213.
[22]Woo S,Cho JY.Imaging findings of common benign renaltumors in the era of small renal masses:differential diagnosisfrom small renal cell carcinoma:current status and futureperspectives[J].Korean J Radiol,2015,16(1):99-113.
[23]谭少庆,张捷.64层螺旋CT、超声及X线诊断肠梗阻的临床对比分析[J].医学影像学杂志,2011,21(7):1052-1054.
[24]张联合,章士正,胡红杰,等.多排螺旋计算机断层成像技术小肠造影对小肠疾病的诊断价值[J].中华消化杂志,2005,25(11):655-658.
[25]Yamamoto H,Sekine Y,Sato Y,et a1.Total enteroscopy with anonsurgical steerable double-balloon method[J].Gastrointest Endosc,2001,53(2):216-220.
[26]PashaSF,Leighton JA,Das A,et al.Double-balloon enteroscopy and capsule endoscopy have comparable diagnostic yield in small-bowel disease:a meta-analysis[J].Clin Gastroenterol Hepatol,2008,6(6):671-676.
[27]Liao Z,Gao R,Xu C,et al.Indications and detection,completion,and retention rates of small-bowel capsule endoscopy:a systematic review[J].Gastrointest Endosc,2010,71(2):280-286.
[28]Leslie KA,Tsao JI,Rossi RL,et al.Metastatic renal cell carcinoma to ampulla of Vater:an unusual lesion amenable to surgical resection[J].Surgery,1996,119(3):349-351.
[2]Lam JS,Leppert JT,Belldegrun AS,et al.Novel approaches in the therapy of metastatic renal cell carcinoma[J].World J Urol,2005,23(3):202-212.
[3]Curti BD.Renal cell carcinoma[J].JAMA,2004,292(1):97-100.
[4]Eggener SE,Yossepowitch O,Pettus JA,et al.Renal cell carcinoma recurrence after nephrectomy for localized disease:predicting survival from time of recurrence[J].J Clin Oncol,2006,24:3101-3106.
[5]王毓彬,齐东东,黎军.116例原发性小肠肿瘤临床分析[J]局解手术学杂志,2013(4):429-430.
[6]陶超超,王燕华,赵春雷,等.18F-FDG PET/CT显像在原发性小肠肿瘤中的诊断价值[J].中国临床医学影像杂志,2014,25(11):787-792.
[7]Mueller JL,Guyer RA,Adler JT,et al.Metastatic renal cell carcinoma to the small bowel:three cases of GI bleeding and a literature review[J].Cen Case Reports,2018,7(1):39-43.
[8]Vani M,Nambiar A,Geetha K,et al.Metastatic renal cell carcinoma causing small intestinal polyps with intussusception:a report of two cases[J].JCDR,2017,11(4):13-15.
[9]Medic I,Enriquez ML,RA Somer.Metastatic renal cell carcinoma to jejunum:an unusual case presentation[J]Urol Case Rep,2017,13:34-36.
[10]孙志德,陈琳光,康庆民.肾癌小肠转移致肠套叠1例[J]承德医学院学报.2017,34(3):254-255.
[11]Fragulidis GP,Vezakis A,Chondrogiannis K,et al.Clinical presentation and management of gastro-intestinal and pancreatic secondary metastatic tumors[J].J BUON,2015,20(4):1009-1014.
[12]Ismail I,Neuen BL,Mantha M,et al.Solitary jejunal metastasis from renal cell carcinoma presenting as small bowel obstruction 19 years after nephrectomy[J].BMJCase Rep,2015:1-5.
[13]Karakatsanis A,Vezakis A,Fragulidis G,et al.Obstructive jaundice due to ampullary metastasis of renal cell carcinoma[J].World J Surg Oncol,2013,11(1):262-266.
[14]Kerkeni W,Bouzouita A,Jarraya H,et al.Ileocolic intussusception from metastatic renal cell carcinoma[J].Prog Urol,2013,23(1):73-75.
[15]Zhao H,Han K,Li J,et al.A case of wedge resection of duodenum for massive gastrointestinal bleeding due to duodenal metastasis by renal cell carcinoma[J].World JSurg Oncol,2012,10(1):199-204.
[16]Teli MA,Shah OJ,Jan AM,et al.Duodenal metastasis from renal cell carcinoma presenting as gastrointestinal bleed[J].J Med Sci,2012,15(1):65-68.
[17]Kubota S,Kageyama S,Narita M,et al.Small intestinal metastasis from renal cell carcinoma:a case report[J].Hinyokika Kiyo,2012,58(8):431-434.
[18]Takahara K,Inamoto T,Nomi H,et al.A case report of small intestine metastasis from renal cell carcinoma[J].Hinyokika Kiyo,2011,57(9):505-507.
[19]Eo WK,Kim GY,Choi SI.A case of multiple intussusceptions in the small intestine caused by metastatic renal cell carcinoma[J].Cancer Res Treat,2008,40(2):97-99.
[20]Ogiso S,Maeno A,Nagahama K,et al.Small intestinal metastases from renal cell carcinoma:a case report and literature review[J].Hinyokika Kiyo,2005,51(1):13-16.
[21]Willis RA.Secondary tumors of the intestine[J].Butter worth&Co,973:209-213.
[22]Woo S,Cho JY.Imaging findings of common benign renaltumors in the era of small renal masses:differential diagnosisfrom small renal cell carcinoma:current status and futureperspectives[J].Korean J Radiol,2015,16(1):99-113.
[23]谭少庆,张捷.64层螺旋CT、超声及X线诊断肠梗阻的临床对比分析[J].医学影像学杂志,2011,21(7):1052-1054.
[24]张联合,章士正,胡红杰,等.多排螺旋计算机断层成像技术小肠造影对小肠疾病的诊断价值[J].中华消化杂志,2005,25(11):655-658.
[25]Yamamoto H,Sekine Y,Sato Y,et a1.Total enteroscopy with anonsurgical steerable double-balloon method[J].Gastrointest Endosc,2001,53(2):216-220.
[26]PashaSF,Leighton JA,Das A,et al.Double-balloon enteroscopy and capsule endoscopy have comparable diagnostic yield in small-bowel disease:a meta-analysis[J].Clin Gastroenterol Hepatol,2008,6(6):671-676.
[27]Liao Z,Gao R,Xu C,et al.Indications and detection,completion,and retention rates of small-bowel capsule endoscopy:a systematic review[J].Gastrointest Endosc,2010,71(2):280-286.
[28]Leslie KA,Tsao JI,Rossi RL,et al.Metastatic renal cell carcinoma to ampulla of Vater:an unusual lesion amenable to surgical resection[J].Surgery,1996,119(3):349-351.