Kanno T, Kamoto T, Terai A, Kakehi Y, Terachi T, Ogawa O
Department of Urology, Faculty of Medicine, Kyoto University.
Hinyokika Kiyo. 2001 Feb;47(2):95-8.
A 62-year-old man was admitted with a chief complaint of general malaise. Computed tomography showed a large mass adjacent to the parenchyma of the left kidney. The mass was 17 x 13 x 12 cm in size. Preoperative diagnosis was left renal cell carcinoma and left radical nephrectomy was performed. Histopathologically, the tumor was diagnosed as malignant fibrous histiocytoma (MFH), and the tumor was considered to have arisen from the renal capsule. There has been no recurrence for 7 months postoperatively. We review 40 cases of MFH arising from the kidney or the renal capsule in the literature.
一名62岁男性因全身不适为主诉入院。计算机断层扫描显示左肾实质旁有一个大肿块。肿块大小为17×13×12厘米。术前诊断为左肾细胞癌,遂行左根治性肾切除术。组织病理学检查显示,肿瘤被诊断为恶性纤维组织细胞瘤(MFH),且认为肿瘤起源于肾包膜。术后7个月无复发。我们回顾了文献中40例起源于肾脏或肾包膜的MFH病例。