유방암으로부터 신장에 국한되어 전이된 전이성 신암
Solitary Metastatic Renal Tumor from Breast Cancer
주재상, 임창민, 이정선, 오경진, 강택원, 권동득, 박광성, 류수방,
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주재상 ( Joo Jae-Sang )
전남대학교 의과대학 비뇨기과학교실
임창민 ( Im Chang-Min )
전남대학교 의과대학 비뇨기과학교실
이정선 ( Lee Jeong-Seon )
전남대학교 의과대학 비뇨기과학교실
오경진 ( Oh Kyung-Jin )
전남대학교 의과대학 비뇨기과학교실
강택원 ( Kang Taek-Won )
전남대학교 의과대학 비뇨기과학교실
권동득 ( Kwon Dong-Deuk )
전남대학교 의과대학 비뇨기과학교실
박광성 ( Park Kwang-Sung )
전남대학교 의과대학 비뇨기과학교실
류수방 ( Ryu Soo-Bang )
전남대학교 의과대학 비뇨기과학교실
KMID : 0358320060470060670
Abstract
We report a case of a metastatic renal tumor secondary to breast cancer 9 years postmastectomy. This is the first case report of solitary renal metastasis from breast cancer with no other evidence of metastasis. A 47-year-old woman underwent a modified radical mastectomy and 6 cycles of CEF chemotherapy(Cyclophosphamide, Epirubicin, 5-FU) for cancer of the left breast. She was followed closely, but no recurrence or metastases were detected on either a physical or radiological examination. 9 years later, on a routine follow-up examination for metastatic breast cancer, abdomen ultrasound revealed a solid mass(4cm in diameter) in the upper portion of the right kidney. Computed tomography(CT) was used to further evaluate the solitary renal mass, which had become moderately enhanced. No regional lymph node, visceral or pulmonary metastases were found. A radionuclide bone scan confirmed no bony involvement. A laparoscopic radical nephrectomy was performed for a right renal tumor. The histopathological features were identical to those for cancer of the right breast. The patient was treated with adjuvant combination chemotherapy(docetaxel and adriamycin), and is still alive 9 months after a right radical nephrectomy, with no evidence of recurrence. (Korean J Urol 2006;47:670-673)
키워드
Kidney neoplasms;Breast cancer;Neoplasm metastasis
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