肾脏原发性良性肉瘤并转移至对侧肾脏。病例报告。

Q2 Medicine Interventional Medicine and Applied Science Pub Date : 2018-06-01 DOI:10.1556/1646.10.2018.12

Sergio Vasquez Ciriaco, Jaime Aron García Espinoza, Elena Enselmini Garcia Pedro

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摘要

导言：肾脏良性肉瘤是世界上罕见的肿瘤，人们对它的认识主要基于各种报道和病例；然而，由于其恶性潜能和平均 18 个月的存活期，其预后是暗淡的：临床病例：一名 54 岁女性，临床表现为右侧腹部疼痛 6 个月，断层扫描图像显示双侧肾脏病变，接受了右侧根治性肾切除术和左侧保守性手术。最终的组织病理学检查报告为右侧原发性肾脏细肌瘤伴左侧转移：结论：肾细肌肉瘤是一种发病率低、死亡率高的实体肿瘤；然而，我们的病例在文献报道的对侧肾脏转移患者中占少数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Primary leiomyosarcoma of kidney with metastasis to contralateral kidney. Case report.

Introduction: Renal leiomyosarcoma is a rare entity in the world and its understanding is based on reports and various cases; however, the prognosis is bleak for its malignant potential and an average survival of 18 months.

Clinical case: A 54-year-old woman with a clinical picture of 6 months of pain in the right flank and a tomographic image of a bilateral renal lesion underwent right radical nephrectomy and left conservative surgery. The definitive histopathological study reported right primary renal leiomyosarcoma with left metastasis.

Conclusion: Renal leiomyosarcoma is an entity of low incidence and high mortality; however, our case represents the minority of patients with contralateral kidney metastasis reported in the literature.

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