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腹腔镜下肾部分切除术治疗肾孤立性纤维瘤:病例报告

Solitary Fibrous Tumor of the Kidney Treated with Laparoscopic Partial Nephrectomy: A Case Report.

作者信息

Chen Xing, Wang Jian-Feng, Ding Zhen-Shan, Zhou Xiao-Feng

出版信息

Chin Med Sci J. 2018 Mar 30;33(1):64-68. doi: 10.24920/31803.

Abstract

We herein reported a 27-year-old woman with a right renal mass for two years. She underwent laparoscopic partial nephrectomy. Immunohistochemical examination of the specimen confirmed the diagnosis of solitary fibrous tumor by revealing its positive staining for cluster of differentiation (CD)34, epithelial membrane antigen (EMA), B-cell lymphoma-2 (Bcl-2) and CD99 in the tumor cells. No adjuvant treatment was carried out. The patient was in good health without local recurrence or metastasis during 2 years of follow-up. Laparoscopic partial nephrectomy for renal solitary fibrous tumor is an alternative treatment to radical nephrectomy. It can provide a good outcome. However, further follow-up and more cases of renal solitary fibrous tumor treated with laparoscopic partial nephrectomy are necessary to compare the oncological outcome with radical nephrectomy.

摘要

我们在此报告一名27岁女性,其右肾肿物已存在两年。她接受了腹腔镜下部分肾切除术。对标本进行的免疫组织化学检查通过显示肿瘤细胞中分化簇(CD)34、上皮膜抗原(EMA)、B细胞淋巴瘤-2(Bcl-2)和CD99呈阳性染色,确诊为孤立性纤维瘤。未进行辅助治疗。在2年的随访期间,患者健康状况良好,无局部复发或转移。腹腔镜下部分肾切除术治疗肾孤立性纤维瘤是根治性肾切除术的一种替代治疗方法。它可以带来良好的治疗效果。然而,需要进一步随访以及更多接受腹腔镜下部分肾切除术治疗的肾孤立性纤维瘤病例,以便将肿瘤学治疗效果与根治性肾切除术进行比较。

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