Marchese Rita, Bufo Pantaleo, Carrieri Giuseppe, Bove Giuseppe
Department of Radiotherapy, Policlinico Ospedali Riuniti, University Hospital, 71100 Foggia, Italy.
Case Rep Med. 2010;2010. doi: 10.1155/2010/802026. Epub 2010 Sep 28.
Malignant fibrous histiocytoma (MFH) usually presents in the extremities or retroperitoneum. Cases involving the kidney are rare and portend a poor prognosis. Although radical nephrectomy is the most beneficial curative choice for this neoplasm, patients are often treated with adjuvant chemotherapy due to high risk of local recurrence and distant metastases. We describe a case of a 68-year-old woman affected by MFH, treated with both nephrectomy and radiotherapy without systemic therapy showing an unexpected twenty-four-month postsurgery survival outcome.
恶性纤维组织细胞瘤（MFH）通常出现在四肢或腹膜后。累及肾脏的病例罕见且预后不佳。尽管根治性肾切除术是治疗这种肿瘤最有益的治愈选择，但由于局部复发和远处转移的高风险，患者通常接受辅助化疗。我们描述了一例68岁患有MFH的女性病例，该患者接受了肾切除术和放疗，未进行全身治疗，术后存活了24个月，结果出乎意料。
