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[混合性肾肿瘤:两例病例报告]

[Hybrid renal tumors: a report of two patients].

作者信息

Delongchamps N B, Vieillefond A, Peyromaure M, Saighi D, Conquy S, Debré B, Zerbib M

机构信息

Service d'urologie, hôpital Cochin, université Paris-Descartes, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.

出版信息

Prog Urol. 2010 Dec;20(13):1223-6. doi: 10.1016/j.purol.2010.02.005. Epub 2010 Apr 21.

Abstract

PURPOSE

Renal hybrid tumors (HT) are characterized by the association of both oncocytes- and chromophobe-cells within the same tumor. They have been reported in patients with Birt-Hogg-Dube (BHD) syndrome. The aim of this report was to describe two cases of HT and summarize recent literature.

PATIENT AND METHOD

Case study was summarized from the patient's medical chart. Review of literature was performed using the National Center for Biotechnology Information (NCBI) database.

RESULTS

Two patients were diagnosed with multiple but small tumors of the kidney, and were treated with partial nephrectomy. Pathological analysis of these tumors showed oncocytoma-like and chromophobe-like cells intermixed in the same stroma.

CONCLUSIONS

HT may constitute a spectrum of tumors between renal oncocytoma and chromophobe renal cell carcinoma. From a pragmatic management perspective, it would be appropriate to consider such tumors as chromophobe carcinoma. In case of HT, a genetic study for BHD syndrome can be proposed to family relatives.

摘要

目的

肾混合性肿瘤(HT)的特征是在同一肿瘤内同时存在嗜酸性细胞和嫌色细胞。在Birt-Hogg-Dube(BHD)综合征患者中已有相关报道。本报告旨在描述两例HT病例并总结近期文献。

患者与方法

通过患者病历总结病例研究。使用美国国立生物技术信息中心(NCBI)数据库进行文献回顾。

结果

两名患者被诊断患有多个但较小的肾肿瘤,并接受了部分肾切除术。对这些肿瘤的病理分析显示,嗜酸性细胞瘤样和嫌色细胞瘤样细胞在同一基质中混合存在。

结论

HT可能构成肾嗜酸性细胞瘤和嫌色细胞肾细胞癌之间的一系列肿瘤。从实际管理的角度来看,将此类肿瘤视为嫌色细胞癌是合适的。对于HT病例,可向家族亲属建议进行BHD综合征的基因研究。

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