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肾嫌色细胞癌合并同侧输尿管尿路上皮癌:一例报告。

Chromophobe renal cell carcinoma with ipsilateral ureteral urothelial carcinoma: A case report.

作者信息

Wang Peirui, Wang Ling, Du Jiang, Liang Guobiao

机构信息

Department of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563003, P.R. China.

Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563003, P.R. China.

出版信息

Mol Clin Oncol. 2023 Feb 21;18(4):30. doi: 10.3892/mco.2023.2626. eCollection 2023 Apr.

Abstract

It is very rare for different types of urological tumours to occur together, and it is even rarer for chromophobe renal cell carcinoma (CRCC) to be combined with ipsilateral ureteral urothelial carcinoma (UUC), and the symptoms are relatively homogeneous, mostly presenting as symptoms that can be observed in malignant tumours alone, and therefore are often easily missed. In the present study, a case of a patient who was admitted to the hospital for more than 3 months with no obvious cause of terminal carnivorous hematuria was reported, and ureteral carcinoma was considered in the preoperative diagnosis but not renal carcinoma. After completion of preoperative tests, laparoscopic right nephrectomy and right ureterectomy was performed. The postoperative pathological diagnosis was CRCC of the right side and low-grade UUC of the right side, and the patient did not show any significant abnormality at the postoperative follow-up. By discussing this case and reviewing the relevant literature, the present study provides clinicians with more insight.

摘要

不同类型的泌尿系统肿瘤同时发生的情况非常罕见,而嫌色性肾细胞癌(CRCC)与同侧输尿管尿路上皮癌(UUC)合并出现的情况更为罕见,且症状相对单一,大多仅表现为恶性肿瘤常见的症状,因此常常容易被漏诊。在本研究中,报告了一例因不明原因的终末肉眼血尿入院3个多月的患者,术前诊断考虑为输尿管癌,未考虑肾癌。完成术前检查后,实施了腹腔镜下右肾切除术和右输尿管切除术。术后病理诊断为右侧CRCC和右侧低级别UUC,患者术后随访未出现任何明显异常。通过对该病例进行讨论并复习相关文献,本研究为临床医生提供了更多见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/756c/9995567/4aea2fe69801/mco-18-04-02626-g00.jpg

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