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[遗传性肾肿瘤综合征。]

[Hereditary renal tumor syndromes.].

作者信息

Sánta Fanni, Semjén Dávid, Kuthi Levente

机构信息

1 Szegedi Tudományegyetem, Szent-Györgyi Albert Orvostudományi Kar, Pathologiai Intézet Szeged, Állomás u. 1., 6725 Magyarország.

2 Pécsi Tudományegyetem, Általános Orvostudományi Kar és Klinikai Központ, Pathologiai Intézet Pécs Magyarország.

出版信息

Orv Hetil. 2023 Mar 12;164(10):363-375. doi: 10.1556/650.2023.32729.

Abstract

Kidney tumors may develop in association with hereditary tumor syndromes. The clinical presentation of these disorders is various, and in some cases, the renal tumor is the first manifestation of the syndrome. Thus, pathologists need to be aware of the gross and histological signs that may suggest the possibility of a tumor syndrome. In this paper, we summarize and illustrate the characteristics of kidney tumors, genetic background along with the extrarenal manifestations in the following diseases: Von Hippel-Lindau syndrome, hereditary papillary renal cell carcinoma syndrome, hereditary leiomyomatosis and renal cell carcinoma syndrome, Birt-Hogg-Dubé syndrome, tuberous sclerosis, hereditary paraganglioma and pheochromocytoma syndrome, and inherited BAP1 tumor syndrome. At the end of the manuscript, we discuss the tumor syndromes with increased risk of Wilms tumors. Such patients require a holistic approach and multidisciplinary care. Our work aims to make those involved in the diagnosis and treatment of kidney tumors aware of these rare diseases that require life-long surveillance. Orv Hetil. 2023; 164(10): 363-375.

摘要

肾肿瘤可能与遗传性肿瘤综合征相关。这些疾病的临床表现多种多样,在某些情况下,肾肿瘤是该综合征的首发表现。因此,病理学家需要了解可能提示肿瘤综合征可能性的大体和组织学特征。在本文中,我们总结并阐述了以下疾病中肾肿瘤的特征、遗传背景以及肾外表现:冯·希佩尔-林道综合征、遗传性乳头状肾细胞癌综合征、遗传性平滑肌瘤病和肾细胞癌综合征、Birt-Hogg-Dubé综合征、结节性硬化症、遗传性副神经节瘤和嗜铬细胞瘤综合征以及遗传性BAP1肿瘤综合征。在本文结尾,我们讨论了患肾母细胞瘤风险增加的肿瘤综合征。这类患者需要整体治疗方法和多学科护理。我们的工作旨在让参与肾肿瘤诊断和治疗的人员了解这些需要终身监测的罕见疾病。《匈牙利医学周报》。2023年;164(10): 363 - 375。

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