Case report: Sarcomatoid renal cell carcinoma masquerading as hydronephrosis

Shicheng Chen, Zhongcong He, Mi Meng, Zhong Tian, Cheng Zhu, Ni Fu, Bo Yu
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Abstract

Sarcomatoid renal cell carcinoma (SRCC), a manifestation of sarcomatoid dedifferentiation in renal cell carcinoma, is characterized by elevated invasiveness and a grim prognosis. Typically, SRCC patients present with advanced or metastatic conditions and survival rates rarely extend beyond one year. In this study, we describe a case of SRCC characterized by the patient exhibiting right flank pain without hematuria. Initially, imaging interpretations led to a diagnosis of severe hydronephrosis. Subsequently, an open right nephrectomy post-surgery confirmed the pathology of sarcomatoid renal cell carcinoma.
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病例报告:伪装成肾积水的肉瘤样肾细胞癌
肉瘤样肾细胞癌(SRCC)是肾细胞癌中肉瘤样分化的一种表现形式,其特点是侵袭性强、预后不良。通常情况下,SRCC 患者会出现晚期或转移症状,存活期很少超过一年。在本研究中,我们描述了一例 SRCC 病例,患者表现为右侧腹痛,但无血尿。最初,影像学检查诊断为严重肾积水。随后,手术后进行的开放性右肾切除术证实了肉瘤样肾细胞癌的病理。
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