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Renal cell carcinoma metastases case of lower extremity arteriovenous fistula

nin-angiotensinsystem: presentandfuture [J]. JCardiovPharm, 1989,14 (Suppl4): $ 60 for a $ 65. [9] KenjiM, MakioT. ShigeatsuH, eta1. Effectsoflosar-tan. anonpeptideangiotensin Ⅱ receptorantagonist · oncardiachypertrophyandthetissueangiotensin1con-tentinspontaneouslyhypertensiverats [J. LifeSci-ence. 1992.51 (4) :367-374. [1O] MIAOLi-yan, JIANGWen-ping (Miao Liyan, Jiang Wenping). Effectsofvalsartanontheangiotensinllevelsandventricularremodeling [J]. ChineseJournalofCardi-ology (0 Diseases Chinese), 1999,27 (6) :456-458. (InChinese) [11] YANGShang-yin, HUZuoying, CAOHeng, etal (Yangshang India, Hu Zuoying. Cao Heng. Etc.). Effectofangiotensinlreceptorantagonistonreninangiotensinsysteminmainorgansofspontaneouslyhypertensiverats [J]. Chi-neseCirculationJournal (Chinese Circulation Journal.) 2000.15 (1) :56-58. (InChinese) [12] NobuyoshiM. KimuraT,[link widoczny dla zalogowanych], NosakaH, eta1. Restenosisaftersuccessfulpercutaneoustransiuminalcoronaryangioplasty: Serialangiongraphicfollowupof229pa-tients [J]. JAmCoilCardio1.1988,[link widoczny dla zalogowanych], 12 (3) :616-623. [13] BautersC, IsnerJM. Thebiologyofrestenosis [Jj. ProgCardiovascDis, 1997,[link widoczny dla zalogowanych],40 (2) :107-116. Arteriovenous fistula divided into two categories of congenital and acquired, congenital origin in young people, often involving numerous small venous branch vessels of the fistula are multiple; acquired often occurs in medium-sized vein , fistula are generally single, and more common in post-traumatic and, therefore, called traumatic arteriovenous fistula. Aneurysm perforation occasionally accompanied by a vein, or tumor invasion of adjacent blood vessel wall caused. Arteriovenous fistula in this case the reason is clearly due to renal cell carcinoma metastasis. Mass due to appear in patients with knee a year ago,[link widoczny dla zalogowanych], before the check was never found, congenital factors can be ruled out. Patients have no clear history of trauma, and trauma can not make the lower limbs three arteriovenous fistula occurred, traumatic factors can be ruled out. Although the X-ray films and DSA, may have prompted osteosarcoma, but the lower limbs at the same time of a primary osteosarcoma is unlikely. For patients 11 years ago [Editor Huang took] the right radical nephrectomy was OK,[link widoczny dla zalogowanych], preoperative renal cell carcinoma metastasis may also be considered, but the B-ultrasound and KUB + IVP none of tips and the first biopsy, until the re-biopsy after was clear. The time of diagnosis by renal cell carcinoma has 259 / 6 to 33 are transferred, the transfer means there is a direct violation of kidney tissues, the lymphatic metastasis, but also spread to the blood line of the inferior vena cava, the formation of thrombus, and even into the right atrium, and then transferred to the lungs and body, 40 to 75 autopsies a lung metastasis, the cases showed multiple liver and bone metastasis, suggesting that the transfer from the lymph node, but to create a rare arteriovenous fistula. [Editor Rong Lian] Received date :2001-04-29 Revised :2001-0625 Author: Zhang Hongkun (1972 a). Male, Master, physician. Mainly engaged in the work of Vascular Surgery
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