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一例巨大肾周脂肪肉瘤合并肾细胞癌的病例报告及三例既往病例回顾

A case report of huge perirenal liposarcoma associated with renal cell carcinoma and reviews of three previous cases.

作者信息

Liu Zhe, Xu Yuanhong, Long Jin, Guo Kejian, Du Ruixia

机构信息

Department of Pancreatic Surgery, First Hospital of China Medical University Shenyang, China.

Department of Otorhinolaryngology, Fengtian Hospital, Shenyang Medical University Shenyang, China.

出版信息

Int J Clin Exp Med. 2014 Nov 15;7(11):4526-9. eCollection 2014.

PMID:25550981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4276239/
Abstract

Retroperitoneal liposarcoma (RPLS) is a rare malignant tumor yet with a high recurrence rate. It is mostly observed in limbs and during retroperitoneal clearance, and accounts for nearly 40% of all adult retroperitoneal soft tissue sarcomas [1]. Renal cell carcinoma (RCC) is a common cancer developed in urinary system and its occurrence rate accounts for 3% of whole body malignant tumors [2]. In this report, we present a case of large perirenal liposarcoma associated with RCC, which is to date the fourth identified case. We analyzed the clinical pathologic data of this patient and reviewed the other three cases. Compared to the other cases, this patient is diagnosed at the youngest age and the liposarcoma tumor is with the largest diameter. Moreover, we have been following up the patient after operation for the longest time. All of these made this report rare and important.

摘要

腹膜后脂肪肉瘤(RPLS)是一种罕见的恶性肿瘤,但复发率很高。它大多发生于四肢以及腹膜后清除术中,占所有成人腹膜后软组织肉瘤的近40%[1]。肾细胞癌(RCC)是泌尿系统常见的癌症,其发生率占全身恶性肿瘤的3%[2]。在本报告中,我们呈现了一例与肾细胞癌相关的巨大肾周脂肪肉瘤病例,这是迄今为止第四例确诊病例。我们分析了该患者的临床病理资料,并回顾了其他三例病例。与其他病例相比,该患者确诊时年龄最小,脂肪肉瘤肿瘤直径最大。此外,我们对该患者术后的随访时间最长。所有这些使得本报告既罕见又重要。

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Int J Clin Exp Med. 2014 Nov 15;7(11):4526-9. eCollection 2014.
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Clear cell renal carcinoma synchronous with dedifferentiated liposarcoma: a case report and review of the literature.透明细胞肾细胞癌与去分化脂肪肉瘤同时发生:一例报告并文献复习
J Med Case Rep. 2020 Jan 8;14(1):4. doi: 10.1186/s13256-019-2320-4.

本文引用的文献

1
[Surgical treatment of retroperitoneal sarcomas].[腹膜后肉瘤的外科治疗]
Magy Onkol. 2014 Mar;58(1):47-51. Epub 2014 Feb 12.
2
t(6;11) renal cell carcinoma (RCC): expanded immunohistochemical profile emphasizing novel RCC markers and report of 10 new genetically confirmed cases.t(6;11) 肾细胞癌(RCC):扩大的免疫组织化学特征强调新型 RCC 标志物,并报告了 10 例新的基因确诊病例。
Am J Surg Pathol. 2014 May;38(5):604-14. doi: 10.1097/PAS.0000000000000203.
3
Important surgical considerations in the management of renal cell carcinoma (RCC) with inferior vena cava (IVC) tumour thrombus.肾细胞癌(RCC)合并下腔静脉(IVC)瘤栓的重要手术考虑因素。
BJU Int. 2012 Oct;110(7):926-39. doi: 10.1111/j.1464-410X.2012.11174.x. Epub 2012 Apr 30.
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[Retroperitoneal dedifferentiated liposarcoma (DDLS) with hyperglycemic activity: case report and literature review].[具有高血糖活性的腹膜后去分化脂肪肉瘤(DDLS):病例报告及文献综述]
Minerva Chir. 2010 Aug;65(4):479-84.
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Hinyokika Kiyo. 2009 Sep;55(9):571-4.
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Ann Surg. 1998 Sep;228(3):355-65. doi: 10.1097/00000658-199809000-00008.
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Perirenal liposarcoma containing extramedullary hematopoiesis associated with renal cell carcinoma.
Urology. 1994 Jan;43(1):106-9. doi: 10.1016/s0090-4295(94)80279-3.