肾脏无弹性肉瘤:病例报告和文献综述。

Chien-Chin Chen, Kai-Sheng Liao
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引用次数: 0

摘要

我们报告了一例 22 岁女性的病例,她出现毛细血尿已有 1 个月。在她的左肾发现了一个 9.5 厘米的肿瘤。由于怀疑是肾癌,她接受了左肾切除术。从组织学角度看,这是一个高细胞性肿瘤,其中有未分化的无性瘤细胞,呈束状片状,与软骨结节混杂在一起。鉴别诊断包括无弹性肾肉瘤(ASK)、无弹性威尔姆斯瘤、间充质软骨肉瘤、肉瘤样肾细胞癌、肾透明细胞肉瘤、肾横纹肌瘤、先天性间叶肾瘤和滑膜肉瘤。根据检查结果和文献综述,诊断为 ASK。患者术后恢复顺利,术后5周开始辅助化疗(伊福酰胺[1800 mg/m2]和表柔比星[60 mg/m2])。在此,我们介绍这一病例,与大家分享这一极其罕见病例的经验。
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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Anaplastic sarcoma of the kidney: Case report and literature review.

We present a case of a 22-year-old female with gross hematuria for 1 month. A 9.5-cm tumor was found at her left kidney. On suspicion of a renal cancer, she received left nephrectomy. Histologically, it was a hypercellular tumor with undifferentiated anaplastic neoplastic cells in fascicular sheets intermixed with chondroid nodules. The differential diagnoses included anaplastic sarcoma of the kidney (ASK), anaplastic Wilms tumor, mesenchymal chondrosarcoma, sarcomatoid renal cell carcinoma, clear cell sarcoma of the kidney, rhabdoid tumor of the kidney, congenital mesoblastic nephroma, and synovial sarcoma. Based on the results of the work-up and literature review, ASK was diagnosed. The postoperative recovery was uneventful, and the patient began adjuvant chemotherapy (Ifosfamide [1800 mg/m2] and Epirubicin [60 mg/m2]) 5 weeks after the operation. Herein, we present this case to share the experience on an extremely rare entity.

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