双侧同步出现三种不同组织学类型的肾肿瘤：一例报告
Bilateral synchronous occurrence of three different histological types of renal tumor: a case report.
作者信息
Radopoulos Demetrios, Tahmatzopoulos Anastasios, Kalinderis Nikolaos, Dimitriadis Georgios
机构信息
1st Department of Urology, Aristotle University of Thessaloniki Ethnikis Amynis 41, 54635 Thessaloniki Greece.
出版信息
J Med Case Rep. 2009 Apr 1;3:6798. doi: 10.1186/1752-1947-3-6798.
INTRODUCTION
Renal cell carcinomas account for 85% of all renal neoplasms. With the introduction of modern imaging modalities, there has been an increased diagnosis of renal tumors. Recent studies have shown that partial nephrectomy can be as safe as radical nephrectomy for smaller renal tumors. Renal cell carcinomas are usually unilateral, however, they can be bilateral in 2% to 4% of sporadic cases and considerably more common in familial cases.
CASE PRESENTATION
In this case report, we describe an unusual case of two bilateral synchronous chromophobe renal cell carcinomas accompanied by an oncocytoma and an angiomyolipoma, that were all treated by open partial nephrectomy.
CONCLUSIONS
To the best of our knowledge, this is the first case report on the synchronous occurrence of bilateral chromophobe renal cell carcinomas associated with an oncocytoma and an angiomyolipoma.
引言
肾细胞癌占所有肾肿瘤的85%。随着现代影像学检查手段的引入，肾肿瘤的诊断率有所提高。最近的研究表明，对于较小的肾肿瘤，部分肾切除术与根治性肾切除术一样安全。肾细胞癌通常为单侧性，然而，在2%至4%的散发性病例中可为双侧性，在家族性病例中更为常见。
病例报告
在本病例报告中，我们描述了一例罕见病例，患者患有双侧同步性嫌色肾细胞癌，并伴有一个嗜酸细胞瘤和一个肾血管平滑肌脂肪瘤，均接受了开放性部分肾切除术治疗。
结论
据我们所知，这是首例关于双侧嫌色肾细胞癌与嗜酸细胞瘤和肾血管平滑肌脂肪瘤同步发生的病例报告。
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