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原发手术后 9 年,发生腹股沟恶性孤立性纤维瘤双侧肾脏转移。

Bilateral renal metastasis of an inguinal malignant solitary fibrous tumor, 9 years after primary surgical treatment.

机构信息

Department of Urology, Gulhane Military Medical Academy, Ankara, Turkey.

出版信息

Med Princ Pract. 2012;21(6):585-7. doi: 10.1159/000339923. Epub 2012 Aug 8.

Abstract

OBJECTIVE

To report the first case of a bilateral renal solitary fibrous tumor (SFT) as a metastasis of an inguinal malignant SFT.

CLINICAL PRESENTATION AND INTERVENTION

A 60-year-old male patient with a history of a right inguinal 7 × 8 cm soft tissue mass excision 9 years ago was referred to our clinic with abdominal pain. Both physical examination and chest X-ray were normal. Computed tomography revealed bilateral renal tumor. He was successfully treated with left partial and right radical nephrectomy. Histopathological examination showed a metastasis of the previous inguinal SFT.

CONCLUSION

This case showed that although malignant SFT is extremely rare in the urogenital tract, this tumor should be included in the differential diagnosis when identified in the kidneys.

摘要

目的

报告首例双侧肾脏孤立性纤维瘤(SFT)作为腹股沟恶性 SFT 转移的病例。

临床表现和干预

一名 60 岁男性患者,9 年前右侧腹股沟有一 7×8cm 软组织肿块切除术病史,因腹痛就诊于我院。体格检查和胸部 X 线均正常。计算机断层扫描显示双侧肾肿瘤。他成功地接受了左肾部分切除术和右肾根治性切除术。组织病理学检查显示为先前腹股沟 SFT 的转移。

结论

本病例表明,尽管泌尿生殖道恶性 SFT 极为罕见,但在肾脏中发现该肿瘤时,应将其纳入鉴别诊断。

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