A case of metastatic gallbladder tumor of renal cell cancer with a unique feature followed by ultrasonography
A 74-year-old female with a past history of right nephrectomy due to renal cell cancer at 67-year-old was admitted for evaluation of an oval polyp at the gallbladder neck with 15 mm diameter in size, which had been recognized as a 7 mm hemispheric lesion on ultrasonography 7 months before admission....
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| Published in | Tando Vol. 26; no. 5; pp. 699 - 704 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Biliary Association
2012
一般社団法人 日本胆道学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-0077 1883-6879 |
| DOI | 10.11210/tando.26.699 |
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| Abstract | A 74-year-old female with a past history of right nephrectomy due to renal cell cancer at 67-year-old was admitted for evaluation of an oval polyp at the gallbladder neck with 15 mm diameter in size, which had been recognized as a 7 mm hemispheric lesion on ultrasonography 7 months before admission. Abdominal enhanced CT revealed a strongly-enhanced lesion and endoscopic ultrasonography showed a 20 mm-diameter low echoic polypoid mass with a high echoic layer on its surface. We considered it as a metastatic gallbladder tumor of renal cell cancer and performed cholecystectomy. Histopathologically, the tumor consisted of clear cells similar to the previously operated renal cell cancer and existed in the mucosal layer without invasion into the muscular layer. The gallbladder lesion was diagnosed as a metastasis of renal cell cancer. |
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| AbstractList | A 74-year-old female with a past history of right nephrectomy due to renal cell cancer at 67-year-old was admitted for evaluation of an oval polyp at the gallbladder neck with 15 mm diameter in size, which had been recognized as a 7 mm hemispheric lesion on ultrasonography 7 months before admission. Abdominal enhanced CT revealed a strongly-enhanced lesion and endoscopic ultrasonography showed a 20 mm-diameter low echoic polypoid mass with a high echoic layer on its surface. We considered it as a metastatic gallbladder tumor of renal cell cancer and performed cholecystectomy. Histopathologically, the tumor consisted of clear cells similar to the previously operated renal cell cancer and existed in the mucosal layer without invasion into the muscular layer. The gallbladder lesion was diagnosed as a metastasis of renal cell cancer.
要旨：症例は74歳女性．10年前に右腎癌に対し根治的切除（病理：RCC clear cell pT3b，45×38 mm，G1>2，INFα，v（+），cut end-）の既往あり，定期的に当院泌尿器科にて経過観察中だった．腹部超音波検査にて胆嚢頸部に7 mmの半球状隆起性病変を指摘され，7カ月後に同病変は15 mmと増大し卵形を呈した．dynamic CTでは動脈相で極めて強い造影効果を伴う腫瘤病変を指摘され，門脈相にて肝とほぼ同等の造影効果遅延を呈した．超音波内視鏡検査にて亜有茎性の20 mm弱の腫瘤で，腫瘤表層には薄く高エコー帯を伴っていた．造影CT早期相における造影所見および超音波内視鏡所見より腎癌の転移を強く疑った．当院外科にて開腹下単純胆嚢摘出術が施行された．病理組織学的に胆嚢粘膜層に限局した腎癌の胆嚢転移と診断された． A 74-year-old female with a past history of right nephrectomy due to renal cell cancer at 67-year-old was admitted for evaluation of an oval polyp at the gallbladder neck with 15 mm diameter in size, which had been recognized as a 7 mm hemispheric lesion on ultrasonography 7 months before admission. Abdominal enhanced CT revealed a strongly-enhanced lesion and endoscopic ultrasonography showed a 20 mm-diameter low echoic polypoid mass with a high echoic layer on its surface. We considered it as a metastatic gallbladder tumor of renal cell cancer and performed cholecystectomy. Histopathologically, the tumor consisted of clear cells similar to the previously operated renal cell cancer and existed in the mucosal layer without invasion into the muscular layer. The gallbladder lesion was diagnosed as a metastasis of renal cell cancer. |
| Author | Kurokami, Takafumi Kikuyama, Masataka Kayahara, Takahisa Suzuki, Makoto Kimura, Yuto Matsumura, Kazuyoshi Maruno, Takahisa Morita, Toshihiro Shigetomo, Miki |
| Author_FL | 重友 美紀 菊山 正隆 萱原 隆久 黒上 貴史 森田 敏広 松村 和宜 丸野 貴久 木村 勇斗 鈴木 誠 |
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| Author_xml | – sequence: 1 fullname: Shigetomo, Miki organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Morita, Toshihiro organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Kikuyama, Masataka organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Kurokami, Takafumi organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Kimura, Yuto organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Maruno, Takahisa organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Kayahara, Takahisa organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Matsumura, Kazuyoshi organization: Department of Gastroenterology, Shizuoka General Hospital – sequence: 1 fullname: Suzuki, Makoto organization: Department of Pathology, Shizuoka General Hospital |
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| References | 10) 植木敏晴, 別府孝浩, 大谷圭介, ほか. 腎細胞癌胆嚢転移の1例. 消化器画像 2001; 3: 373-379 17) 伊佐 勉, 山元啓文, 佐野由紀子, ほか. 胆道癌におけるFDG-PET検査の有用性の検討. 胆と膵 2010; 31 (2): 219-225 18) 又木雄弘, 新地洋之, 前村公成, ほか. 胆道癌におけるFDG-PETの検討. 胆道 2011; 1: 72-78 14) 徳山泰治, 清水泰博, 安井健三, ほか. 腎癌の胆嚢転移の1症例. 胆道 2004; 4: 520-524 6) 寺島雅典, 安部彦満, 菅 一徳, ほか. 膵転移,胆嚢転移を認めた腎癌の2例. 日消外会誌 1990; 7: 1952-1956 9) 内山哲之, 鈴木正徳, 福原賢治, ほか. 腎細胞癌胆嚢転移の1例. 日消誌 1997; 1: 68-72 19) 鈴木慶一, 和多田晋, 三井洋子, ほか. FDG-PETにて集積不良であった腎細胞癌同時性膵転移の1切除例. 膵臓 2010; 1: 67-72 8) 垣本健一, 坂上和弘, 原 恒男, ほか. 腎細胞癌胆嚢転移の1例. 泌尿器外科 1996; 臨増: 875-878 7) 藤井靖久, 皿田敏明, 石田孝雄, ほか. 胆嚢転移を伴った腎細胞癌. 臨床泌尿器科 1995; 6: 405-407 16) Nojima H, Cho A, Yamamoto H, et al. Renal cell carcinoma with unusual metastasis to the gallbladder. J Hepatobiliary Pancreat Surg 2008; 15 (2): 209-212 3) Weiss L, Harlos JP, Torhorst J, et al. Metastatic patterns of renal carcinoma: An analysis of 687 necropsies. J Cancer Res Clin Oncol 1988; 114: 605-612 12) 我喜屋宗久, 金城 治, 豊見山健, ほか. 腎細胞癌胆嚢転移の1例. 泌尿器外科 2002; 1: 67-69 2) 白井量久, 向山博夫, 深田伸二, ほか. 腎細胞癌術後27年目に生じた膵・胆嚢転移の1切除例. 日臨外会誌 2001; 62: 496 1) 京極典憲, 奥芝俊一, ほか. 原発巣と同時に切除した腎細胞癌胆嚢転移の1例. 日消外会誌 2010; 5: 524-530 13) 宮城 徹, 北川育秀, 勝見哲郎, ほか. 胆嚢転移をきたした腎細胞癌. 臨床泌尿器科 2003; 3: 257-259 4) 白倉永理, 岡部純弘, 上嶋一臣, ほか. 腎細胞癌胆嚢転移の1例. 消化器画像 2004; 6: 651-658 5) Willis RA. The spread of tumors in the human body 2nd Ed. London: Butterworth, 1952: 218-219 15) 竹林正孝, 豊田暢彦, 野坂仁愛, ほか. 胆嚢転移をきたした腎細胞癌の2例. 日臨外会誌 2006; 11: 2717-2722 11) Aoki T, Inoue K, Tsuchida A, et al. Gallbladder Metastasis of Renal Cell Carcinoma: Report of Two Cases. Surg Today 2002; 32 (1): 89-92 |
| References_xml | – reference: 3) Weiss L, Harlos JP, Torhorst J, et al. Metastatic patterns of renal carcinoma: An analysis of 687 necropsies. J Cancer Res Clin Oncol 1988; 114: 605-612 – reference: 7) 藤井靖久, 皿田敏明, 石田孝雄, ほか. 胆嚢転移を伴った腎細胞癌. 臨床泌尿器科 1995; 6: 405-407 – reference: 14) 徳山泰治, 清水泰博, 安井健三, ほか. 腎癌の胆嚢転移の1症例. 胆道 2004; 4: 520-524 – reference: 15) 竹林正孝, 豊田暢彦, 野坂仁愛, ほか. 胆嚢転移をきたした腎細胞癌の2例. 日臨外会誌 2006; 11: 2717-2722 – reference: 2) 白井量久, 向山博夫, 深田伸二, ほか. 腎細胞癌術後27年目に生じた膵・胆嚢転移の1切除例. 日臨外会誌 2001; 62: 496 – reference: 13) 宮城 徹, 北川育秀, 勝見哲郎, ほか. 胆嚢転移をきたした腎細胞癌. 臨床泌尿器科 2003; 3: 257-259 – reference: 16) Nojima H, Cho A, Yamamoto H, et al. Renal cell carcinoma with unusual metastasis to the gallbladder. J Hepatobiliary Pancreat Surg 2008; 15 (2): 209-212 – reference: 10) 植木敏晴, 別府孝浩, 大谷圭介, ほか. 腎細胞癌胆嚢転移の1例. 消化器画像 2001; 3: 373-379 – reference: 1) 京極典憲, 奥芝俊一, ほか. 原発巣と同時に切除した腎細胞癌胆嚢転移の1例. 日消外会誌 2010; 5: 524-530 – reference: 4) 白倉永理, 岡部純弘, 上嶋一臣, ほか. 腎細胞癌胆嚢転移の1例. 消化器画像 2004; 6: 651-658 – reference: 5) Willis RA. The spread of tumors in the human body 2nd Ed. London: Butterworth, 1952: 218-219 – reference: 8) 垣本健一, 坂上和弘, 原 恒男, ほか. 腎細胞癌胆嚢転移の1例. 泌尿器外科 1996; 臨増: 875-878 – reference: 11) Aoki T, Inoue K, Tsuchida A, et al. Gallbladder Metastasis of Renal Cell Carcinoma: Report of Two Cases. Surg Today 2002; 32 (1): 89-92 – reference: 18) 又木雄弘, 新地洋之, 前村公成, ほか. 胆道癌におけるFDG-PETの検討. 胆道 2011; 1: 72-78 – reference: 6) 寺島雅典, 安部彦満, 菅 一徳, ほか. 膵転移,胆嚢転移を認めた腎癌の2例. 日消外会誌 1990; 7: 1952-1956 – reference: 19) 鈴木慶一, 和多田晋, 三井洋子, ほか. FDG-PETにて集積不良であった腎細胞癌同時性膵転移の1切除例. 膵臓 2010; 1: 67-72 – reference: 12) 我喜屋宗久, 金城 治, 豊見山健, ほか. 腎細胞癌胆嚢転移の1例. 泌尿器外科 2002; 1: 67-69 – reference: 17) 伊佐 勉, 山元啓文, 佐野由紀子, ほか. 胆道癌におけるFDG-PET検査の有用性の検討. 胆と膵 2010; 31 (2): 219-225 – reference: 9) 内山哲之, 鈴木正徳, 福原賢治, ほか. 腎細胞癌胆嚢転移の1例. 日消誌 1997; 1: 68-72 |
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| SubjectTerms | metastic gallbradder tumor renal cell carcinoma 腎細胞癌 転移性胆嚢腫瘍 |
| Title | A case of metastatic gallbladder tumor of renal cell cancer with a unique feature followed by ultrasonography |
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