Renal Cell Carcinoma in a 3 year-old Girl: A Case Report

三歲女童發生腎細胞癌：病例報告

黃堃碩(Kun-Shuo Huang)；施焄鏻(Shin-Lin Shih)；楊斐適(Fei-Shih Yang)

中華放射線醫學雜誌

33卷4期（2008 / 12 / 01）

271 - 275

英文

一位三歲女童因嘔吐兩天而求診。腹部超音波顯示一腫瘤位於左腎下級實質部。未顯影電腦斷層檢查中顯示此腫瘤具有較高的密度合併有鈣化的後腹腔淋巴結腫大。於施打顯影劑後，腫瘤呈現不均勻的顯影。病人之後接受左腎全切除以及周圍淋巴腺廓清術，病理報告證實為腎細胞癌合併淋巴腺轉移。因此一腎臟腫瘤合併有周圍鈣化淋巴結轉移提供小兒腎細胞癌的一個診斷線索。

A 3-year-old girl presented with vomiting for two days. Abdominal ultrasonogram revealed a mass at the lower pole of left kidney. Non-contrast enhanced abdominal computed tomography (CT) scan revealed high attenuation of the tumor and calcified lymphadenopathies in the retroperitoneum. On a contrast-enhanced CT scan, the mass was enhanced heterogenously. The patient underwent left radical nephrectomy and resection of adjacent lymph nodes. The pathology report confirmed the diagnosis of renal cell carcinoma with metastatic lymphadenopathies. Calcified metastatic lymph nodes adjacent to a renal mass may suggest the possibility of renal cell carcinoma.