老年肾盂肉瘤样癌1例报告

中华老年医学杂志 Pub Date : 2019-12-14 DOI:10.3760/CMA.J.ISSN.0254-9026.2019.12.028

K. Lei, Ming Ma, Xu Wang, T. Sun

{"title":"老年肾盂肉瘤样癌1例报告","authors":"K. Lei, Ming Ma, Xu Wang, T. Sun","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.12.028","DOIUrl":null,"url":null,"abstract":"肾盂肉瘤样癌是一种极为罕见的恶性肿瘤，目前国内外报道较少，本患者男，63岁，因双侧腰部疼痛不适2年，加重1月于2010年5月入院。入院诊断：双肾结石并双肾积水，尿路感染。经抗感染治疗后在全麻下行经皮肾镜左肾结石Ⅰ期钬激光碎石术。术中见左侧肾盂内大量乳头状新生物及灰白色坏死物质，行术中冰冻活检，提示尿路上皮癌，遂终止手术。首次手术1周后，于全麻下行后腹腔镜左侧肾盂癌根治术。术中因肾脏与周围组织粘连紧密，不易分离，遂改行开放手术，切除左肾及左输尿管，并在左输尿管入膀胱处行袖套状切除。术后病理诊断：左肾盂肉瘤样癌。建议患者术后转肿瘤科进一步治疗，但患者拒绝，出院后定期电话随访，随访至术后第10个月时患者死亡，死亡原因为肿瘤晚期恶病质。患者临床表现不典型，预后差。迄今为止我院仅收治1例。","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1433-1434"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A case report of sarcomatoid carcinoma of the renal pelvis in elderly patient\",\"authors\":\"K. Lei, Ming Ma, Xu Wang, T. Sun\",\"doi\":\"10.3760/CMA.J.ISSN.0254-9026.2019.12.028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"肾盂肉瘤样癌是一种极为罕见的恶性肿瘤，目前国内外报道较少，本患者男，63岁，因双侧腰部疼痛不适2年，加重1月于2010年5月入院。入院诊断：双肾结石并双肾积水，尿路感染。经抗感染治疗后在全麻下行经皮肾镜左肾结石Ⅰ期钬激光碎石术。术中见左侧肾盂内大量乳头状新生物及灰白色坏死物质，行术中冰冻活检，提示尿路上皮癌，遂终止手术。首次手术1周后，于全麻下行后腹腔镜左侧肾盂癌根治术。术中因肾脏与周围组织粘连紧密，不易分离，遂改行开放手术，切除左肾及左输尿管，并在左输尿管入膀胱处行袖套状切除。术后病理诊断：左肾盂肉瘤样癌。建议患者术后转肿瘤科进一步治疗，但患者拒绝，出院后定期电话随访，随访至术后第10个月时患者死亡，死亡原因为肿瘤晚期恶病质。患者临床表现不典型，预后差。迄今为止我院仅收治1例。\",\"PeriodicalId\":9997,\"journal\":{\"name\":\"中华老年医学杂志\",\"volume\":\"38 1\",\"pages\":\"1433-1434\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-12-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华老年医学杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.12.028\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华老年医学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.12.028","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

Sarcoma like carcinoma of the renal pelvis is an extremely rare malignant tumor, and there are few reports at home and abroad. This patient, a 63 year old man, was admitted to the hospital in May 2010 due to bilateral lumbar pain and discomfort for 2 years, which worsened in January. Admission diagnosis: bilateral kidney stones with hydronephrosis, urinary tract infection. After undergoing anti infection treatment, percutaneous nephrolithotripsy for left renal calculi under general anesthesia was performed using phase I holmium laser lithotripsy. During the operation, a large amount of papillary new organisms and gray white necrotic substances were found in the left renal pelvis. A frozen biopsy was performed during the operation, indicating urothelial carcinoma, and the surgery was terminated. One week after the first surgery, laparoscopic radical resection of left renal pelvis cancer was performed under general anesthesia. Due to the tight adhesion between the kidney and surrounding tissues during the surgery, it was difficult to separate. Therefore, an open surgery was performed to remove the left kidney and ureter, and a sleeve shaped resection was performed at the entrance of the left ureter into the bladder. Postoperative pathological diagnosis: Sarcoma like carcinoma of the left renal pelvis. It is recommended that the patient be transferred to the oncology department for further treatment after surgery, but the patient refused. After discharge, the patient will be followed up regularly by phone, and the patient will die by the 10th month after surgery. The cause of death is late stage cachexia of the tumor. The patient's clinical manifestations are atypical and the prognosis is poor. So far, only one case has been admitted to our hospital.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

A case report of sarcomatoid carcinoma of the renal pelvis in elderly patient

肾盂肉瘤样癌是一种极为罕见的恶性肿瘤，目前国内外报道较少，本患者男，63岁，因双侧腰部疼痛不适2年，加重1月于2010年5月入院。入院诊断：双肾结石并双肾积水，尿路感染。经抗感染治疗后在全麻下行经皮肾镜左肾结石Ⅰ期钬激光碎石术。术中见左侧肾盂内大量乳头状新生物及灰白色坏死物质，行术中冰冻活检，提示尿路上皮癌，遂终止手术。首次手术1周后，于全麻下行后腹腔镜左侧肾盂癌根治术。术中因肾脏与周围组织粘连紧密，不易分离，遂改行开放手术，切除左肾及左输尿管，并在左输尿管入膀胱处行袖套状切除。术后病理诊断：左肾盂肉瘤样癌。建议患者术后转肿瘤科进一步治疗，但患者拒绝，出院后定期电话随访，随访至术后第10个月时患者死亡，死亡原因为肿瘤晚期恶病质。患者临床表现不典型，预后差。迄今为止我院仅收治1例。

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

中华老年医学杂志

自引率

0.00%

发文量

8523

期刊介绍：