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伴脂肪肉瘤去分化的嫌色细胞肾细胞癌:一例报告。

Chromophobe renal cell carcinoma with liposarcomatous dedifferentiation: a case report.

机构信息

Department of Pathology, Ibn Rochd University Hospital Center, Casablanca, Morocco.

Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.

出版信息

Pan Afr Med J. 2022 Jul 14;42:206. doi: 10.11604/pamj.2022.42.206.34595. eCollection 2022.

DOI:10.11604/pamj.2022.42.206.34595
PMID:36284572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9547027/
Abstract

Chromophobe renal cell carcinoma with liposarcomatous dedifferentiation is a very extremely rare tumor and only few cases have been reported in the literature. Here we report a case of a 37-year-old woman who presented with a pain and a palpable mass in the right flank. The abdominal computed tomography (CT) scan found a renal tumor and the patient underwent a right radical nephrectomy with adrenal gland resection. After the histological examination of the specimen completed by immunohistochemical and molecular study, a diagnosis of chromophobe renal cell carcinoma with liposarcomatous dedifferentiation was made. The patient received adjuvant chemotherapy. Afterwards, she developed bone metastasis and died 13 months after the surgery. Chromophobe renal cell carcinoma with liposarcomatous dedifferentiation is a rare tumor associated with a poor prognosis and a metastatic potential.

摘要

伴脂肪肉瘤去分化的嫌色细胞肾细胞癌是一种非常罕见的肿瘤,文献中仅报道了少数病例。在此,我们报告了 1 例 37 岁女性,因右侧腰部疼痛和可触及肿块就诊。腹部 CT 扫描发现肾肿瘤,患者接受了右肾癌根治性切除术和肾上腺切除术。免疫组织化学和分子研究完成标本的组织学检查后,诊断为伴脂肪肉瘤去分化的嫌色细胞肾细胞癌。患者接受了辅助化疗。随后,她发生了骨转移,术后 13 个月死亡。伴脂肪肉瘤去分化的嫌色细胞肾细胞癌是一种罕见的肿瘤,预后不良,具有转移潜能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/9547027/895bff788e5a/PAMJ-42-206-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/9547027/0c8cb906d811/PAMJ-42-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/9547027/fdec7862f138/PAMJ-42-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/9547027/895bff788e5a/PAMJ-42-206-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/9547027/0c8cb906d811/PAMJ-42-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/9547027/fdec7862f138/PAMJ-42-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaa4/9547027/895bff788e5a/PAMJ-42-206-g003.jpg

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本文引用的文献

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Sarcomatoid Chromophobe Renal Cell Carcinoma with Heterologous Component.伴有异源性成分的肉瘤样嗜铬细胞瘤肾细胞癌
Iran J Pathol. 2020 Winter;15(1):57-61. doi: 10.30699/IJP.2019.109242.2147.
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Sarcomatoid Chromophobe Renal Cell Carcinoma: A Case Report and Review of the Literature.肉瘤样嗜铬细胞肾细胞癌:一例报告并文献复习
Am J Case Rep. 2019 Aug 19;20:1225-1230. doi: 10.12659/AJCR.916651.
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A Composite Renal Tumor with Dual Differentiation, Chromophobe and Collecting Duct Carcinoma.一种具有双分化的复合性肾肿瘤,即嫌色细胞癌和集合管癌。
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Chromophobe renal cell carcinoma with liposarcomatous dedifferentiation - report of a unique case.伴有脂肪肉瘤去分化的嫌色性肾细胞癌——1例罕见病例报告
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