The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Renal cell carcinoma developed in a patient treated with huge simple renal cyst sclerotherapy

거대 단순 신낭종의 경화요법 치료를 받은 환자에서 발견된 신세포암 1예

  • Seon, Han-Gyung (Department of Internal Medicine, CHA University College of Medicine) ;
  • Kim, Ju-Hwan (Department of Internal Medicine, CHA University College of Medicine) ;
  • Koo, Seung-Won (Department of Internal Medicine, CHA University College of Medicine) ;
  • Yoo, Kwang-Ho (Department of Internal Medicine, CHA University College of Medicine) ;
  • Park, Kyeong-Mi (Department of Internal Medicine, CHA University College of Medicine) ;
  • Kim, Ji-Woon (Department of Internal Medicine, CHA University College of Medicine) ;
  • Kim, Hyung-Jong (Department of Internal Medicine, CHA University College of Medicine)
  • 선한경 (CHA 의과학대학교 내과학교실) ;
  • 김주환 (CHA 의과학대학교 내과학교실) ;
  • 구승원 (CHA 의과학대학교 내과학교실) ;
  • 유광호 (CHA 의과학대학교 내과학교실) ;
  • 박경미 (CHA 의과학대학교 내과학교실) ;
  • 김지운 (CHA 의과학대학교 내과학교실) ;
  • 김형종 (CHA 의과학대학교 내과학교실)
  • Received : 2009.11.03
  • Accepted : 2009.11.19
  • Published : 2010.08.01
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Abstract

Simple renal cysts are a common cystic disease of the kidneys, which is not symptomatic in most cases and is diagnosed by radiological examination. However, if the cyst is huge or symptomatic, it must be treated. Renal cyst aspiration and alcohol sclerotherapy is a safe and effective treatment for symptomatic simple renal cysts. Simple renal cysts have benign clinical features in the main and transformation of a simple renal cyst into renal cell carcinoma has rarely been reported. However, one case of renal cell carcinoma during renal cyst follow.up has been reported. We report a case of renal cell carcinoma that developed in a patient who was being treated with huge simple renal cyst sclerotherapy.

본 증례는 단순 신낭종에서 악성 신세포암이 발생하였을 것으로 생각되어 병리 검사를 시행하였으나, 신절제술 소견에서 이전 단순 신낭종 치료 부위에 근접하여 신세포암이 발견되었으며 낭성 종괴에서 종양세포는 발견되지 않았다. 아마도 단순 신낭종의 경화요법으로 치료할 당시에도 신세포암이 있었는지는 알기 어려우나, 과거 보고를 참고하였을 때 단순 신낭종으로 진단된 경우에도 드물기는 하나 악성 종양으로의 변형에 대한 가능성 및 새로운 신세포암이 발생할 수 있음을 염두에 두어 단순 신낭종의 치료 후에도 정기적인 추적관찰이 필요할 것으로 생각된다.

Keywords

References

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