Cuello Javier, Brugés Ricardo
Clinical Oncology Group, Cancerology National Institute, E.S.E., Bogota, Colombia ; El Bosque University, Bogota, Colombia.
Case Rep Oncol Med. 2013;2013:564980. doi: 10.1155/2013/564980. Epub 2013 Jan 15.
Solitary fibrous tumors of the kidney are extremely rare tumors with unpredictable behavior. We describe a case of a patient with a solitary fibrous tumor of kidney with malignant findings with distant metastasis and nephrectomy managed with subcutaneous interferon achieving 23 months of progression-free survival. To date there is no prospective evaluation of any specific modality of treatment, but the surgical management and long-term followup are the only ones so far recommended strategies in the management of these patients. Studies are awaited with more patients to evaluate the different strategies of systemic therapy reported so far to allow adding survival benefit.
肾脏孤立性纤维瘤是极为罕见的肿瘤,其行为难以预测。我们描述了一例患有肾脏孤立性纤维瘤的患者,该肿瘤具有恶性表现并伴有远处转移,经皮下注射干扰素进行肾切除术治疗后,实现了23个月的无进展生存期。迄今为止,尚无对任何特定治疗方式的前瞻性评估,但手术治疗和长期随访是目前为止在这些患者管理中唯一推荐的策略。有待开展更多患者的研究,以评估目前报道的不同全身治疗策略,从而增加生存获益。