肾粘液管状和梭形细胞癌:一例罕见肿瘤

Antonius Galih Pranesdha Putra, Taufik Indrawan
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摘要

本研究的目的是提高对肾粘液管状和梭形细胞癌(MTSCC-K)的理解和认识,这是一种罕见的肾脏肿瘤,发生率不到所有肾脏肿瘤的1%。重点是提高临床诊断,了解肿瘤的特点,并探讨预后和对患者的影响。本研究使用的方法是个案研究。临床表现:MTSCC-K主要发生于女性,常表现为侧腹疼痛,与其他肾脏肿瘤相似。然而,它可能没有其他典型症状,如明显的体重减轻或泌尿系统问题。影像学特征:CT扫描可显示斑块状钙化的实性肿块,常突出于肾外轮廓。这些特异的影像学特征有助于MTSCC-K的鉴别诊断。组织病理学特征:MTSCC-K表现为小而细长的索或小管密集排列,并伴有弥散的粘液样间质。细长管状梭形细胞样结构的存在是一个独特的预后特征:与其他肾细胞癌相比,MTSCC-K患者,特别是早期诊断并接受根治性肾切除术治疗,预后相对较好。在本病例中,缺乏确定的转移也支持积极的预后。本研究的意义包括:提高医生和放射科医生对MTSCC-K独特的临床和影像学特征的认识,可以更快、更准确地诊断。
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Mucinous Tubular and Spindle Cell Carcinoma of Kidney: A Case Report of a Rare Tumor
The objective of this research is to enhance the understanding and recognition of Mucinous Tubular and Spindle Cell Carcinoma of the Kidney (MTSCC-K), a rare renal tumor occurring in less than 1% of all renal tumors. The focus is on improving clinical diagnosis, understanding the tumor's characteristics, and exploring the prognosis and implications for patients. The method used in this research is a case study. The results of this research indicate that Clinical Presentation: MTSCC-K predominantly occurs in women and often presents with flank pain, similar to other renal tumors. However, it may lack other typical symptoms such as significant weight loss or urinary problems. Imaging Characteristics: CT scans may reveal solid masses with patchy calcification, often protruding outside the renal contour. These specific imaging features can aid in the differential diagnosis of MTSCC-K Histopathological Features: MTSCC-K is characterized by small, elongated cords or tubules arranged densely, with interspersed myxoid stroma. The presence of slender tubular spindle cell-like structures is a distinctive feature Prognosis: Patients with MTSCC-K, especially when diagnosed early and treated with radical nephrectomy, have a comparatively good prognosis compared to other renal cell carcinomas. The lack of identified metastases in the presented case also supports a positive prognosis. Implications of this research include: Increased awareness among doctors and radiologists about the unique clinical and imaging features of MTSCC-K can lead to faster and more accurate diagnoses.
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World Journal of Science Technology and Sustainable Development
World Journal of Science Technology and Sustainable Development GREEN & SUSTAINABLE SCIENCE & TECHNOLOGY-
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