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上尿路尿路上皮癌在交界性 Brenner 肿瘤治疗后消失:病例报告及文献复习。

Disappearance of Upper Urinary Tract Urothelial Carcinoma after Treatment of a Borderline Brenner Tumor: Case Report and Literature Review.

机构信息

Uro-Oncology Department, Jules Bordet Institute, Université Libre de Bruxelles, Brussels, Belgium.

出版信息

Oncol Res Treat. 2015;38(7-8):379-81. doi: 10.1159/000433488. Epub 2015 Jun 18.

Abstract

BACKGROUND

Brenner tumors are relatively rare ovarian neoplasms with very few reported cases associating these tumors and urothelial carcinomas with different characteristics and particularities.

CASE REPORT

We report an unusual clinical case of borderline unilateral Brenner tumor of the ovary associated with a highly recurrent diffuse low-grade papillary urothelial carcinoma of the upper and lower urinary tract. The patient received a total cystectomy and resection of the Brenner tumor. Her clinical response was marked by the absence of recurrence of the urothelial carcinoma and the disappearance of an untreated tumor of the upper urinary tract. The available literature on the association between these tumors was reviewed and their histologic appearance analyzed.

CONCLUSION

The good prognosis of urothelial carcinoma in patients with Brenner tumors suggests different risk factors, physiopathologic features, and carcinogenesis than with typical urothelial carcinoma.

摘要

背景

Brenner 肿瘤是一种相对罕见的卵巢肿瘤,很少有报道将这些肿瘤与具有不同特征和特殊性的尿路上皮癌联系起来。

病例报告

我们报告了一例单侧卵巢交界性 Brenner 肿瘤的罕见临床病例,该肿瘤与上尿路和下尿路弥漫性低度复发性乳头状尿路上皮癌相关。患者接受了全膀胱切除术和 Brenner 肿瘤切除术。她的临床反应表现为尿路上皮癌无复发,未经治疗的上尿路肿瘤消失。对这些肿瘤之间的关联的相关文献进行了回顾,并对其组织学表现进行了分析。

结论

Brenner 肿瘤患者的尿路上皮癌预后良好,提示其与典型的尿路上皮癌相比,具有不同的危险因素、病理生理特征和致癌机制。

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