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输尿管远端的破骨细胞样巨细胞癌。

Osteoclast-like giant cell carcinoma of the distal ureter.

作者信息

Park Hongzoo

机构信息

Department of Urology, School of Medicine, Kangwon National University, Chuncheon, Korea.

出版信息

Korean J Urol. 2011 Jan;52(1):68-70. doi: 10.4111/kju.2011.52.1.68. Epub 2011 Jan 24.

DOI:10.4111/kju.2011.52.1.68
PMID:21344034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3037510/
Abstract

Extraskeletal osteoclast-like giant cell (OGC) tumors are uncommon and have mainly been found in the breast and pancreas. OGC neoplasms of the urinary tract are extremely rare. Most cases found in the renal pelvis and bladder are associated with either an in situ urothelial malignancy or a conventional high-grade urothelial carcinoma. These malignancies tend to be associated with a poor prognosis and disease course. To our knowledge, no cases of OGC tumors of the distal ureter only have been published. Here, we present the case of a 76-year-old man who underwent hand-assisted laparoscopic nephroureterectomy because of painless gross hematuria with right flank pain. Pathologic examination showed OGC carcinoma of the right distal ureter. No local tumor recurrence or distant metastasis was found at the 5-month follow-up.

摘要

骨外破骨细胞样巨细胞瘤（OGC）并不常见，主要见于乳腺和胰腺。泌尿系统的OGC肿瘤极为罕见。大多数发生在肾盂和膀胱的病例与原位尿路上皮恶性肿瘤或传统的高级别尿路上皮癌有关。这些恶性肿瘤往往预后不良且病程不佳。据我们所知，仅远端输尿管OGC肿瘤的病例尚未见报道。在此，我们报告一例76岁男性患者，因无痛性肉眼血尿伴右侧腰痛接受了手辅助腹腔镜肾输尿管切除术。病理检查显示为右侧远端输尿管OGC癌。在5个月的随访中未发现局部肿瘤复发或远处转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/98482861bf09/kju-52-68-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/11d5dcdcbd6d/kju-52-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/40bebcc655f0/kju-52-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/0b951a2f393c/kju-52-68-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/98482861bf09/kju-52-68-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/11d5dcdcbd6d/kju-52-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/40bebcc655f0/kju-52-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/0b951a2f393c/kju-52-68-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67dd/3037510/98482861bf09/kju-52-68-g004.jpg

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本文引用的文献

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APMIS. 2010 May;118(5):407-12. doi: 10.1111/j.1600-0463.2010.02608.x.
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Osteoclast-rich undifferentiated carcinoma of the urinary tract: cytologic findings and literature review.富含破骨细胞的泌尿道未分化癌：细胞学发现及文献综述
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