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症例1:72歳,男性。肉眼的血尿と左下腹部痛を主訴に当科を受診した。馬蹄鉄腎に合併した左腎細胞癌T3aN0M0と診断し,左半腎摘出術,峡部離断術を施行した。Renal cell carcinoma(RCC),G2,pT3bであった。症例2:68歳,女性。CTにて異常を指摘され当科に入院した。馬蹄鉄腎に合併した左腎細胞癌T1bN0M0と診断し,左半腎摘出,峡部離断術を施行した。RCC,G2>G1,pT1bであった。
Case 1:A 72-year-old male with the chief complaints of macrohematuria and left abdominal pain was found to have a renal cell carcinoma(RCC)on the left side of a horseshoe kidney. Left radical nephrectomy with division of the isthmus was perfomed. Histological examination showed RCC,clear cell type,grade 2,pT3b. Case 2:A 68-year-old female with left renal mass was suggested to have a RCC on the left side of a horseshoe kidney. Left radical nephrectomy with division of the isthmus was perfomed,and histological examination of the specimen showed RCC,clear cell type,grade 2>1,pT1b.
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