Alasmari Faris, Albadawe Hani, Alkhateeb Sultan, Alsufiani Fahd, Ghandurah Samirah
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia.
Department of Urology, King Abdulaziz Medical City, Saudi Arabia.
Int J Surg Case Rep. 2017;41:65-67. doi: 10.1016/j.ijscr.2017.07.065. Epub 2017 Oct 13.
This is a 15-year-old female who presented with sudden onset left flank pain associated with nausea and vomiting and a history of weight loss. Radiological investigation revealed a large non-obstructive tumor involving the lower pole of the left kidney which was primarily thought to be a renal cell carcinoma. She underwent left open radical nephrectomy with adrenalectomy. Histopathology of the resected specimen showed features of Ewing's sarcoma of the kidney which was confirmed by cytogenetic analysis. This is a rare disease especially in the pediatric group and in reporting such a rare case we hope it helps in identifying a potential course of the disease and its response to the involved treatment.
这是一名15岁女性，因突发左侧胁腹疼痛伴恶心、呕吐就诊，并有体重减轻史。影像学检查发现左肾下极有一个巨大的非梗阻性肿瘤，最初考虑为肾细胞癌。她接受了左肾根治性切除术及肾上腺切除术。切除标本的组织病理学显示为肾尤因肉瘤特征，细胞遗传学分析证实了这一点。这是一种罕见疾病，尤其是在儿童群体中。报告这样一个罕见病例，我们希望有助于明确该疾病的潜在病程及其对相关治疗的反应。
