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复发性肾细胞癌转移至乳腺和大腿软组织。一例病例报告及文献复习。

Recurrent renal cell carcinoma to the breast and thigh soft tissues. A case report and review of the literature.

作者信息

Alemán-Cabrera Angélica Lucía, Pozos-Garza Alejandra Joanna, Ponce-Camacho Marco Antonio, Negreros-Osuna Adrian Antonio, Ramírez-Galván Yazmín Aseret

机构信息

Department of Radiology and Imaging, Facultad de Medicina, Hospital Universitario "Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Av. Francisco I. Madero y Gonzalitos S/N, Col. Mitras Centro, C.P. 64460, Monterrey, Nuevo León, México.

出版信息

Radiol Case Rep. 2020 Nov 16;16(1):192-196. doi: 10.1016/j.radcr.2020.11.014. eCollection 2021 Jan.

DOI:10.1016/j.radcr.2020.11.014
PMID:33250952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7683219/
Abstract

The breast seldom harbors secondary malignant lesions and is rarer for the kidney to be the origin of the metastatic lesion. Keen Imaging analysis, as well as a high index of suspicion, are critical to differentiate a primary tumor from a metastatic lesion. We describe an unusual case of a recurrent RCC presenting as metastatic lesions to the breast and soft tissue of the right thigh in a 51-year-old patient referred to our breast-imaging unit 10 months after therapeutic surgery. An adequate and close follow-up accompanied by a thorough physical exam and appropriate imaging methods is essential to identify these types of cases.

摘要

乳腺很少出现继发性恶性病变,而肾脏作为转移瘤的原发部位则更为罕见。敏锐的影像学分析以及高度的怀疑指数对于区分原发性肿瘤和转移瘤至关重要。我们描述了一例不寻常的病例,一名51岁患者在接受治疗性手术后10个月转诊至我们的乳腺影像科,复发性肾细胞癌表现为右大腿乳腺和软组织的转移瘤。进行充分且密切的随访,同时进行全面的体格检查和适当的影像学检查方法,对于识别这类病例至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/7ab3dff843d5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/a130d4f63989/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/90e15fd0d676/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/516fe76150f6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/5886b7b83884/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/7ab3dff843d5/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/a130d4f63989/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/90e15fd0d676/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/516fe76150f6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/5886b7b83884/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369c/7683219/7ab3dff843d5/gr5.jpg

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本文引用的文献

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Breast metastases from extramammary malignancies: multimodality imaging aspects.乳腺外恶性肿瘤的乳腺转移:多模态影像学表现
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Breast metastases from a Renal Cell Carcinoma. A case report and review of the literature.肾细胞癌的乳腺转移。一例病例报告及文献综述。
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Breast metastases from extramammary malignancies: typical and atypical ultrasound features.
乳房外恶性肿瘤的乳房转移:典型和非典型的超声特征。
Korean J Radiol. 2014 Jan-Feb;15(1):20-8. doi: 10.3348/kjr.2014.15.1.20. Epub 2014 Jan 8.
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Breast metastasis from clear cell renal cell carcinoma.透明细胞肾细胞癌的乳腺转移
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Invasion and metastasis of renal cell carcinoma.肾细胞癌的侵袭与转移
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Distribution of metastatic sites in renal cell carcinoma: a population-based analysis.肾细胞癌转移部位的分布:一项基于人群的分析。
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Sarcomatoid renal cell carcinoma metastatic to the breast: report of a case with diagnosis on fine needle aspiration cytology.转移至乳腺的肉瘤样肾细胞癌:1例经细针穿刺细胞学诊断的病例报告
Acta Cytol. 2007 May-Jun;51(3):451-5. doi: 10.1159/000325765.
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Renal cell carcinoma guideline.肾细胞癌指南。
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[Sarcomatoid carcinoma of the kidney. Report of a new case and review of the bibliography].
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Sarcomatoid renal cell carcinoma: biologic behavior, prognosis, and response to combined surgical resection and immunotherapy.肉瘤样肾细胞癌:生物学行为、预后及对手术切除联合免疫治疗的反应
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