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一例采用创新技术切除的世界最大的梭形细胞肾肿瘤(9千克)且生存时间最长的病例报告。

A case report of the world largest spindle cell renal tumor (9 kg) with longest survival, removed by innovative technique.

作者信息

Khayyamfar Feraidoon, Gholfam Farzaneh, Delavar Parvin, Mirzabozorg Mohamadreza, Esfahani Naheed Hamzehi, Khayyamfar Amirmahdi

机构信息

Department of Urology, Maostafa Khomaini Hospital, Shahed Medical College, Shahed University, Tehran, Iran.

Department of General Surgery, Maostafa Khomaini Hospital, Shahed Medical College, Shahed University, Tehran, Iran.

出版信息

Urol Case Rep. 2022 Jan 25;42:102011. doi: 10.1016/j.eucr.2022.102011. eCollection 2022 May.

DOI:10.1016/j.eucr.2022.102011
PMID:35145873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8818530/
Abstract

Renal cell carcinoma includes about 2% of global cancer and mostly diagnosed in early stages due to wide usage of imaging studies, in this article we report a huge 9 kg renal mass. A 54 years old woman consulted for her stomach ache, in the CT scan study, it revealed a huge abdominal mass occupying most of the abdomen and pelvic area. Innovative surgical resection was performed. Our 9kg renal mass was the first and largest fully solid spindle cell renal tumor, with the longest survival ever reported.

摘要

肾细胞癌约占全球癌症的2%,由于影像学检查的广泛应用,大多在早期被诊断出来。在本文中,我们报告了一例重达9千克的巨大肾肿块。一名54岁女性因腹痛前来就诊,在CT扫描检查中,发现一个巨大的腹部肿块占据了大部分腹部和盆腔区域。我们进行了创新性的手术切除。我们这个9千克的肾肿块是首例也是最大的完全实性梭形细胞肾肿瘤,有着迄今报道的最长生存期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ac/8818530/5ddb1363629c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ac/8818530/5c8660de0154/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ac/8818530/eb585aa9630f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ac/8818530/5ddb1363629c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ac/8818530/5c8660de0154/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ac/8818530/eb585aa9630f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ac/8818530/5ddb1363629c/gr3.jpg

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Urol Case Rep. 2022 Jan 25;42:102011. doi: 10.1016/j.eucr.2022.102011. eCollection 2022 May.
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本文引用的文献

1
A case of the world's largest renal cell carcinoma.一例世界上最大的肾细胞癌病例。
IJU Case Rep. 2020 Oct 25;4(1):49-52. doi: 10.1002/iju5.12236. eCollection 2021 Jan.
2
Epidemiology of Renal Cell Carcinoma.肾细胞癌的流行病学
World J Oncol. 2020 Jun;11(3):79-87. doi: 10.14740/wjon1279. Epub 2020 May 14.
3
A case report of one of the largest {3.63kg} renal tumour removed in the Western Hemisphere. A combined Uro vascular approach for complete removal.西半球切除的最大肾肿瘤(3.63千克)之一的病例报告。采用联合泌尿血管入路进行完整切除。
Int J Surg Case Rep. 2016;24:156-61. doi: 10.1016/j.ijscr.2016.05.036. Epub 2016 May 25.
4
Giant renal angiomyolipoma: unusual cause of huge abdominal mass.巨大肾血管平滑肌脂肪瘤:腹部巨大肿块的罕见病因。
J Clin Imaging Sci. 2013 Nov 28;3:56. doi: 10.4103/2156-7514.122326. eCollection 2013.
5
Mucinous tubular and spindle cell carcinoma of kidney is probably a variant of papillary renal cell carcinoma with spindle cell features.肾黏液性管状和梭形细胞癌可能是具有梭形细胞特征的乳头状肾细胞癌的一种变体。
Ann Diagn Pathol. 2007 Feb;11(1):13-21. doi: 10.1016/j.anndiagpath.2006.09.005.