酷似肾透明细胞癌淋巴结转移的腹膜后Castleman病。一例报告。
Retroperitoneal castleman disease mimicking lymph node spread from clear renal cell carcinoma. A case report.
作者信息
de Campos Eurico Cleto Ribeiro, Júnior Marcos Gonçalves Adriano, Winheski Marcus Rivabem, Mehanna Samya Hamad, Cavalcanti Marcela Santos, Martins Renan
机构信息
Department of Oncology of Prevent Senior, São Paulo Group, São Paulo, Brazil.
Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná, Brazil.
出版信息
Urol Case Rep. 2020 Nov 30;34:101503. doi: 10.1016/j.eucr.2020.101503. eCollection 2021 Jan.
Renal Cell Carcinoma (RCC) corresponds to 3% of the neoplasms in the adults. Surgery is the main mode of treatment, which can be associated toretroperitoneal lymphadenectomy in the presence of clinically tumor positive lymph nodes. Castleman Disease (CD) is a rare lymphoproliferative disorder, with little-known etiopathogenesis. It rarely affects the retroperitoneum. Thorax, neck, and abdomen are more frequently affected. Therefore, CD can simulate lymphatic spread from RCC to the retroperitoneum, also leading to a possible misdiagnosis, or diagnosis concerning a paraneoplastic syndrome due to RCC.
肾细胞癌（RCC）占成人肿瘤的3%。手术是主要的治疗方式，在临床肿瘤阳性淋巴结存在时可联合腹膜后淋巴结清扫术。卡斯特曼病（CD）是一种罕见的淋巴增殖性疾病，病因发病机制鲜为人知。它很少累及腹膜后。胸部、颈部和腹部受累更为常见。因此，CD可模拟RCC向腹膜后的淋巴转移，也可能导致误诊，或诊断为RCC所致的副肿瘤综合征。
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