肾脏双重癌临床少见,现将1例肾癌合并肾盂癌的治疗情况报导如下:1 临床资料 患者,男,56岁,右则腰区疼痛一年为主诉入院。追问病史,无血尿、尿频、尿急、尿痛症状。查体无阳性体征。CT:右肾上极内侧4cm×4cm×3cm肿大的阴影,增强扫描右肾上极低密度病灶,界限清楚,肾门淋巴结无肿大,诊断为右肾癌。B超;右肾上极见4.2cm×3.5cm×3.5cm低回声区,诊断右肾癌。静脉肾盂造影:双肾分泌排泄功能正常,肾盂、肾盏及输尿管无充盈缺损。尿常规:RBC(+),WBC(-)。术前诊断:右肾癌。2 治疗方法 在全麻下经腹行右肾根治术、将右肾、脂肪囊及肾上腺完整切除,输尿管于骼血管分叉处切断,未见区域淋巴结转 Double renal cancer clinical rare, now 1 cases of renal cell carcinoma combined with renal pelvic cancer treatment reported as follows: 1 clinical data, male, 56 years old, right lumbar pain for one year for the main admission. History, no hematuria, frequent urination, urgency, dysuria symptoms. Physical examination without positive signs. CT: the right kidney on the inside of the inner side of the 4cm × 4cm × 3cm swollen shadow, enhanced scanning of the right kidney on the very low density lesions, clear boundaries, no enlargement of the renal hilum lymph nodes, the diagnosis of right kidney cancer. B super; right kidney on the very see 4.2cm × 3.5cm × 3.5cm hypoechoic area, the diagnosis of right kidney cancer. Intravenous pyelography: bilateral renal secretion excretion is normal, renal pelvis, calyx and ureter without filling defect. Urine routine: RBC (+), WBC (-). Preoperative diagnosis: right kidney cancer. 2 treatment under general anesthesia by radical nephrectomy right kidney, fat capsule and adrenalectomy, ureter cut off at the bifurcation of the iliac vessels, no regional lymph node transfer