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作者报告一例晚期肾细胞癌(RCC),形态学证实有纵隔淋巴结转移,使用β-干扰素和长春新碱治疗。8个月后,组织学证实患者发生了无症状的肺结节病。患者女性,57岁,经静脉肾盂造影、腹主动脉及肾血管造影、CT扫描确诊为左肾肿瘤。胸部X线及CT加强扫描显示双肺门和纵隔淋巴结肿大。在CT引导下对纵隔淋巴结行细针抽吸,细胞学检查结果证实为转移的RCC。继之行左肾根治切除,病理诊断为RCC,其组织学特性与纵隔淋巴结细针抽吸细胞学检
The authors report a case of advanced renal cell carcinoma (RCC), confirmed by morphological mediastinal lymph node metastases, treated with β-interferon and vincristine. Eight months later, histology confirmed asymptomatic pulmonary sarcoidosis. The female patient, 57 years old, was diagnosed with a left kidney tumor by intravenous pyelography, abdominal aorta and renal angiography, and CT scan. Chest X-ray and CT-enhanced scans revealed bilateral hilar and mediastinal lymphadenopathy. Fine-needle aspiration was performed on the mediastinal lymph nodes under CT guidance and the cytological findings confirmed metastatic RCC. Followed by radical resection of the left kidney, pathological diagnosis of RCC, histological characteristics and mediastinal lymph node fine needle aspiration cytology