Charfi Slim, Ayadi Lobna, Ellouze Sameh, Khabir Abdelmajid, Chtourou Imen, Gouiaa Naourez, Bahri Ibticem, Sellami-Boudawara Tahya
Department of Pathology, University Hospital Habib Bourguiba, Sfax, Tunisia.
Clin Genitourin Cancer. 2007 Dec;5(7):452-4. doi: 10.3816/CGC.2007.n.034.
Collecting duct carcinoma is a distinct entity among renal cell carcinoma, which is characterized by an aggressive behavior. Sarcomatoid variants of this tumor are rarely described. We report the case of a 62-year-old woman who presented with a left kidney tumor. A radical nephrectomy was performed. The tumor was firm with a white appearance, located in the medulla with infiltrating margins. Pathological examination showed a biphasic tumor with carcinomatous areas consisting of a collecting-duct carcinoma and sarcomatous areas with malignant fibrous histiocytoma-like appearance. Immunohistochemical studies confirmed the diagnosis of sarcomatoid collecting-duct carcinoma. The patient died 8 months after the diagnosis.
集合管癌是肾细胞癌中的一种独特类型,其特点是具有侵袭性。这种肿瘤的肉瘤样变体很少被描述。我们报告一例62岁女性,她患有左肾肿瘤。进行了根治性肾切除术。肿瘤质地硬,呈白色,位于髓质,边界浸润。病理检查显示为双相肿瘤,癌性区域由集合管癌组成,肉瘤样区域具有恶性纤维组织细胞瘤样外观。免疫组织化学研究证实了肉瘤样集合管癌的诊断。患者在诊断后8个月死亡。