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一例极为罕见的原发性肾鳞状细胞癌，其在放射影像学上表现为黄色肉芽肿性肾盂肾炎。

A Very Rare Case of Primary Renal Squamous Cell Carcinoma Presenting With Xanthogranulomatous Pyelonephritis on Radiological Imaging.

作者信息

Veerabathini Bala C, Manthani Kaushik, Gandhi Sandeep, Duddala Nerin

机构信息

Medicine, Peconic Bay Medical Center - Northwell Health, Riverhead, USA.

Family Medicine, Peconic Bay Medical Center - Northwell Health, Riverhead, USA.

出版信息

Cureus. 2020 Dec 3;12(12):e11871. doi: 10.7759/cureus.11871.

DOI:10.7759/cureus.11871
PMID:33282610
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7714747/
Abstract

Xanthogranulomatous pyelonephritis (XGP) and primary renal squamous cell carcinoma (SCC) are both rare conditions that can present very similarly in a patient with renal staghorn calculi. We report a case of a 54-year-old male who presented with fatigue, vomiting and significant acute weight loss. The patient was initially believed to have XGP, but was ultimately diagnosed with both XGP and primary renal SCC. This case report and literature review is meant to elucidate the similarities and differences between XGP and primary renal SCC as both can be diagnostically challenging.

摘要

黄色肉芽肿性肾盂肾炎（XGP）和原发性肾鳞状细胞癌（SCC）都是罕见疾病，在患有肾鹿角形结石的患者中表现可能非常相似。我们报告一例54岁男性病例，该患者出现疲劳、呕吐和明显的急性体重减轻。患者最初被认为患有XGP，但最终被诊断为同时患有XGP和原发性肾SCC。本病例报告和文献综述旨在阐明XGP和原发性肾SCC之间的异同，因为两者在诊断上都具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/a2c789e3ae7d/cureus-0012-00000011871-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/e049805fe470/cureus-0012-00000011871-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/79788f55b48f/cureus-0012-00000011871-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/708352e761f7/cureus-0012-00000011871-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/928af999d628/cureus-0012-00000011871-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/a2c789e3ae7d/cureus-0012-00000011871-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/e049805fe470/cureus-0012-00000011871-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/79788f55b48f/cureus-0012-00000011871-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/708352e761f7/cureus-0012-00000011871-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/928af999d628/cureus-0012-00000011871-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b76/7714747/a2c789e3ae7d/cureus-0012-00000011871-i05.jpg

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本文引用的文献

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Incidental Primary Squamous Cell Carcinoma of the Kidney Within a Calyceal Diverticulum Associated With Nephrolithiasis.肾盏憩室内偶然发现的原发性肾鳞状细胞癌伴肾结石
Oncology (Williston Park). 2019 Feb 15;33(2):69-71.
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The role of neutrophils in cancer.中性粒细胞在癌症中的作用。
Br Med Bull. 2018 Dec 1;128(1):5-14. doi: 10.1093/bmb/ldy029.
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Radiol Case Rep. 2016 Apr 4;11(2):74-7. doi: 10.1016/j.radcr.2016.02.012. eCollection 2016 Jun.
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Primary renal squamous cell carcinoma mimicking the renal cyst: a case report and review of the recent literature.酷似肾囊肿的原发性肾鳞状细胞癌：一例报告并复习近期文献
BMC Urol. 2015 Jul 23;15:69. doi: 10.1186/s12894-015-0064-z.
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Squamous cell carcinoma of the renal pelvis associated with kidney stones: radiologic imaging features with gross and histopathological correlation.肾盂鳞状细胞癌合并肾结石：影像学特征与大体及组织病理学对照
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Case of the diffuse form of xanthogranulomatous pyelonephritis.弥漫性黄色肉芽肿性肾盂肾炎病例
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