Fumarate hydratase-deficient renal cell carcinoma complicated with liver metastasis: case report.

IF 1.6 4区 医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1430344
Hanmin Chen, Qingming Zeng, Folin Liu, Xiaofeng Zou
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Abstract

Background: Fumarate hydratase-deficient renal cell carcinoma (FH-RCC) is a rare subtype of kidney tumor. Most of them are solitary lesions, making preoperative diagnosis difficult, aggressive, and with poor prognosis. They may metastasize even at an early stage, however, there is currently no optimal diagnostic and therapeutic approach for metastatic FH-RCC.

Methods: We report the case of a 34-year-old male patient with renal tumor and liver metastasis, who underwent open tumor resection of the right kidney combined with resection of liver metastases. Postoperative pathology was confirmed, followed by targeted therapy.

Results: Postoperative pathological results confirmed FH-RCC, targeted therapy was performed after surgery. No tumor recurrence was observed during the follow-up of almost 16 months.

Conclusion: FH-RCC patients with liver metastasis can achieve a good prognosis through early resection of primary tumor and metastatic lesions combined with targeted therapy.

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富马酸氢化酶缺陷型肾细胞癌并发肝转移:病例报告。
背景:富马酸氢化酶缺陷型肾细胞癌(FH-RCC)是肾脏肿瘤的一种罕见亚型。它们大多为单发病灶,术前诊断困难,侵袭性强,预后差。它们甚至在早期就可能发生转移,但目前还没有针对转移性 FH-RCC 的最佳诊断和治疗方法:我们报告了一例 34 岁男性肾肿瘤和肝转移患者的病例,该患者接受了开放性右肾肿瘤切除术和肝转移灶切除术。术后病理结果证实,随后进行了靶向治疗:术后病理结果证实为 FH-RCC,术后进行了靶向治疗。随访近16个月,未发现肿瘤复发:结论:FH-RCC 肝转移患者可通过早期切除原发肿瘤和转移病灶并结合靶向治疗获得良好的预后。
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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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