腎細胞癌是成人常見的腎臟腫瘤，而血管平滑肌脂肪瘤則是常存在於結節性硬化病人身上。個案為一位64歲無結節性硬化症之男性肝癌病人，於3個月前接受血管栓塞治療，患者於例行身體檢查中發現右側後腹腔腫塊，手術後病理診斷為腎細胞癌合併血管平滑肌脂肪瘤，肝藏切片仍為肝細胞癌，病患術後一年因肝癌過世。同一患者有三種腫瘤實屬少見，本文除了介紹該病例外，亦參閱國外相關文獻之報告作一綜合性回顧以供參考。
Coexistence of renal cell carcinoma and angiomyolipoma in the same kidney is rare. A 64-year-old patient who had a hepatoma and who did not have tuberous sclerosis was admitted for examination of incidental massed found on abdominal sonography. A soft tissue mass involving segment 6 of right lobe of the liver and a huge retroperitoneal tumor on the right were found on computed tomography (CT). Findings on pathological examination of the liver biopsy specimen were consistent with poorly differentiated. Giant cell type, hepatocellular carcinoma. Findings on pathological examination of renal tissue were consistent with angiomyolipoma in the upper-lateral renal mass and with clear cell type, renal cell carcinoma in the upper-medial mass. After 12 months of regular follow-up, the patient died of hepatoma.
