中国麻风皮肤病杂志 ›› 2026, Vol. 42 ›› Issue (10): 734-736.doi: 10.12144/zgmfskin202610734

• 病例报告 • 上一篇    下一篇

皮肤转移性肾透明细胞癌一例

田甜1,曹春育2,戴桂红3   

  1. 1泰州市人民医院烧伤整形科，江苏泰州，225300；2泰州市人民医院皮肤科，江苏泰州，225300；3泰州市人民医院病理科，江苏泰州，225300
  • 出版日期:2026-10-15 发布日期:2026-10-09

Cutaneous metastatic renal clear cell carcinoma: a case report

TIAN Tian1, CAO Chunyu2, DAI Guihong3   

  1. 1 Department of Burn and Plastic Surgery, Taizhou People's Hospital, Taizhou 225300, China; 2 Department of Dermatology, Taizhou People's Hospital, Taizhou 225300, China; 3 Department of Pathology, Taizhou People's Hospital, Taizhou 225300, China
  • Online:2026-10-15 Published:2026-10-09

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摘要： 患者，男，79岁。右上腹壁肿物逐渐增大6个月。右腹壁肿物组织病理及免疫组化提示透明细胞肾细胞癌，完善PET-CT及肾血管（A、V）成像+重建CT，明确左肾原发恶性病灶，排除其他部位转移癌灶。行左肾根治术，术后病理确诊左肾透明细胞肾细胞癌，进一步明确诊断皮肤转移性肾透明细胞癌。因肾细胞癌对放化疗不敏感，术后未予放化疗，随访1年无复发。

关键词: 皮肤转移, 透明细胞癌, 肾

Abstract: A 79-year-old male presented with a gradually enlarging tumor on the right upper abdominal wall for 6 months. Histopathological and immunohistochemical examinations of the right abdominal wall mass indicated clear cell renal cell carcinoma. Positron emission tomography-computed tomography (PET-CT) and renal arteriovenous angiography with reconstructed CT were performed to identify the primary malignant lesion in the left kidney and rule out metastatic lesions in other sites. Radical nephrectomy of the left kidney was conducted, and postoperative pathological examination confirmed left renal clear cell renal cell carcinoma, thereby establishing the definite diagnosis of cutaneous metastatic clear cell renal cell carcinoma. Given the low sensitivity of renal cell carcinoma to radiotherapy and chemotherapy, adjuvant radiotherapy and chemotherapy were not administered postoperatively. No recurrence was observed during a 1-year follow-up period.

Key words: cutaneous metastasis, clear cell carcinoma, kidney