透明细胞肾细胞癌的临床病理特征

Pamela Kusumadewi Putri Thaib, A. S. Rahaju
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引用次数: 62

摘要

透明细胞肾细胞癌(ccRCC)是肾癌中最常见的亚型,具有侵袭性行为。肿瘤分期和分级是诊断的重要参数。关于印度尼西亚ccRCC的临床和病理资料有限,因此需要进一步的信息。本研究旨在确定Soetomo学术总医院(SAGH) ccRCC的临床病理特征。本描述性研究采用回顾性横断面方法进行。检索2016年1月至2020年12月ccRCC标本的临床和组织病理学档案。获得的ccRCC病例总数为38例,2016年最多(11例)。患者平均年龄55.64岁。患者以男性为主(71.1%),男女比例为2.5:1。15例(39.5%)患者的肿瘤大部分充满整个肾脏。15例(39.5%)患者以pT2分期为主。N分期分布以no为主,23例(60.5%)。仅有5例(13.2%)出现疑似转移性多发肺结节(M1)。最常见的肿瘤分级为G4, 17例(44.7%)。综上所述,ccRCC患者以男性为主,肿瘤多为高级别,充满整个肾脏,未穿透肾包膜,未转移到区域淋巴结。
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Clinicopathological profile of clear cell renal cell carcinoma
Clear cell renal cell carcinoma (ccRCC) is the most common subtype of kidney cancer with aggressive behavior. Tumor stage and grade are important parameter in diagnosis. Data about the clinical and pathology profile of ccRCC in Indonesia is limited, therefore further information is needed. The study aimed to determine clinicopathologic profile of ccRCC in Soetomo Academic General Hospital (SAGH). This descriptive study was conducted retrospectively with cross-sectional approach. Clinical and histopathological archives of ccRCC specimen were retrieved during January 2016 to December 2020. The total number of ccRCC cases obtained was 38 cases, the most cases (11) occurred in 2016. The average of patient’s age was 55.64 years. Patients were predominantly male (71.1%), with a ratio to female 2.5:1. The tumors mostly filled the entire kidney, in 15 (39.5%) cases. Most pT stage distribution was pT2, in 15 (39.5%) cases. Most N stage distribution was N0, in 23 (60.5%) cases. Only 5 (13.2%) cases showed multiple pulmonary nodules which suspected to be metastatic (M1). The most common tumors grade was G4, in 17 (44.7%) cases. In conclusion, ccRCC patient were predominantly male, tumors mostly high grade, filled entire kidney, not penetrated renal capsule, and not metastasize to regional lymph nodes.
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