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肾横纹肌肉瘤:一例报告。

Rhabdomyosarcoma of the kidney: A case report.

作者信息

Shuyu Li, Jiaqi Shi, Hua Xie, Zheng Peng, Yu Han, Zhiyong Shen

机构信息

Gui Zhou Medical University, Guizhou, China.

出版信息

Urol Case Rep. 2022 Aug 19;45:102183. doi: 10.1016/j.eucr.2022.102183. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102183
PMID:36062206
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9428812/
Abstract

Rhabdomyosarcoma is a mesenchymal malignancy. It can occur anywhere in the body, but is extremely rare in the kidney. Here, we report a rare case of rhabdomyosarcoma of the kidney in a 19-year-old female who presented with right lumbar pain. Abdominal computed tomography (CT) suggested a huge retroperitoneal mass (approximately 18 × 14 cm). Preoperative neoadjuvant chemotherapy was performed through two preoperative cycle. After admission to our department for further evaluation, enhanced abdominal CT showed a mass of the right kidney (9.6 cm × 7.1 cm). The mass was successfully removed by surgery and the patient achieved a complete recovery.

摘要

横纹肌肉瘤是一种间叶组织恶性肿瘤。它可发生于身体的任何部位,但在肾脏极为罕见。在此,我们报告一例19岁女性罕见的肾横纹肌肉瘤病例,该患者表现为右侧腰痛。腹部计算机断层扫描(CT)显示一个巨大的腹膜后肿块(约18×14厘米)。术前通过两个周期进行了新辅助化疗。入住我科进一步评估后,增强腹部CT显示右肾有一个肿块(9.6厘米×7.1厘米)。该肿块通过手术成功切除,患者实现了完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff48/9428812/8187dcc6d6ba/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff48/9428812/1470c255cbef/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff48/9428812/7d02a12d6703/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff48/9428812/8187dcc6d6ba/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff48/9428812/1470c255cbef/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff48/9428812/7d02a12d6703/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff48/9428812/8187dcc6d6ba/gr3.jpg

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本文引用的文献

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GEIS-SEHOP clinical practice guidelines for the treatment of rhabdomyosarcoma.GEIS-SEHOP横纹肌肉瘤治疗临床实践指南
Clin Transl Oncol. 2021 Dec;23(12):2460-2473. doi: 10.1007/s12094-021-02654-1. Epub 2021 Jul 1.
2
Epidemiology and survival outcome of adult kidney, bladder, and prostate rhabdomyosarcoma: A SEER database analysis.成人肾、膀胱和前列腺横纹肌肉瘤的流行病学及生存结局:一项监测、流行病学和最终结果(SEER)数据库分析
Rare Tumors. 2020 Dec 4;12:2036361320977401. doi: 10.1177/2036361320977401. eCollection 2020.
3
Current treatment of pediatric bladder and prostate rhabdomyosarcoma (bladder preserving vs. radical cystectomy).
小儿膀胱和前列腺横纹肌肉瘤的治疗现状(保膀胱与根治性膀胱切除术)。
Curr Opin Urol. 2019 Sep;29(5):487-492. doi: 10.1097/MOU.0000000000000651.
4
Primary Renal Rhabdomyosarcoma in an Adolescent With Tumor Thrombosis in the Inferior Vena Cava and Right Atrium: A Case Report and Review of the Literature.一名青少年原发性肾横纹肌肉瘤伴下腔静脉和右心房肿瘤血栓形成:病例报告及文献复习
Medicine (Baltimore). 2016 May;95(21):e3771. doi: 10.1097/MD.0000000000003771.