Heterochronic Spontaneous Rupture of Bilateral Renal Cell Carcinomas in a Hemodialysis Patient
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概要
- 論文の詳細を見る
A 64-year-old man undergoing chronic hemodialysis was admitted under a shock state with macrohematuria and fatigue lasting for two hours. A blood analysis revealed severe anemia. Computed tomography disclosed a large right-sided perirenal hematoma. The patient was successfully treated with radical nephrectomy, leading to a histological diagnosis of spontaneous rupture of renal cell carcinoma (RCC). One year after rupture of the right RCC, he again developed macrohematuria and computed tomography revealed a left-sided perirenal hematoma. Radical nephrectomy followed by a histological examination revealed spontaneous rupture of the left-sided RCC. This case emphasizes the importance of conducting periodic imaging evaluations of chronic hemodialysis patients with renal cystic masses.
著者
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Tsuruya Kazuhiko
Department Of Internal Medicine Kyushu University
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Goto Ken
Division For Space Propulsion The Institute Of Space And Astronautical Science
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HIRAKATA Hideki
Division of Nephrology, Fukuoka Red Cross Hospital
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Yotsueda Hideki
Division Of Nephrology Fukuoka Red Cross Hospital
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Nakashima Yutaka
Division Of Pathology Japanese Red Cross Fukuoka Hospital
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Yotsueda Hideki
Division of Nephrology, Japanese Red Cross Fukuoka Hospital, Japan
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Yamada Shunsuke
Fukuoka Renal Clinic, Japan
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Nagara Tadashi
Division of Nephrology, Japanese Red Cross Fukuoka Hospital, Japan
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Fujimi Satoru
Fukuoka Renal Clinic, Japan
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