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罕见肉瘤样上尿路尿路上皮癌变异型的完全缓解：病例报告及文献综述

Complete Response of Rare Sarcomatoid Upper Tract Urothelial Carcinoma Variant: Case Report and Literature Review.

作者信息

Warli Syah Mirsya, Laksmi Lidya Imelda, Lubis Nova Sabrina, Wijaya William Saputra

机构信息

Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara - Haji Adam Malik General Hospital, Medan, Indonesia.

Department of Urology, Universitas Sumatera Utara Hospital, Universitas Sumatera Utara, Medan, Indonesia.

出版信息

Case Rep Oncol. 2023 May 12;16(1):325-330. doi: 10.1159/000530264. eCollection 2023 Jan-Dec.

DOI:10.1159/000530264
PMID:37187682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10176196/
Abstract

Infiltrating urothelial carcinoma sarcomatoid variant is a rare variant of urothelial carcinoma. We report a case of a 68-year-old female with a history of hematuria. CT scan with contrast showed a mass in the 1/3 distal of the right ureter. The biopsy result showed a high-grade infiltrating urothelial carcinoma. A radical nephroureterectomy was performed but at the follow-up after 3 months, there was a recurrent mass and gemcitabine-cisplatin chemotherapy was given. Since a high-grade infiltrating urothelial carcinoma sarcomatoid variant was an aggressive tumor, we need to give more attention to evaluating this tumor.

摘要

浸润性尿路上皮癌肉瘤样变体是尿路上皮癌的一种罕见变体。我们报告一例68岁有血尿病史的女性病例。增强CT扫描显示右输尿管远端1/3处有一肿块。活检结果显示为高级别浸润性尿路上皮癌。行根治性肾输尿管切除术，但术后3个月随访时出现复发性肿块，遂给予吉西他滨-顺铂化疗。由于高级别浸润性尿路上皮癌肉瘤样变体是一种侵袭性肿瘤，我们需要更加重视对该肿瘤的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/528deb6cde1b/cro-2023-0016-0001-530264_F04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/a5eb2037b19a/cro-2023-0016-0001-530264_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/a40eaae1e7a3/cro-2023-0016-0001-530264_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/922d4f780537/cro-2023-0016-0001-530264_F03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/528deb6cde1b/cro-2023-0016-0001-530264_F04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/a5eb2037b19a/cro-2023-0016-0001-530264_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/a40eaae1e7a3/cro-2023-0016-0001-530264_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/922d4f780537/cro-2023-0016-0001-530264_F03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f5/10176196/528deb6cde1b/cro-2023-0016-0001-530264_F04.jpg

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本文引用的文献

1
Upper Urinary Tract Urothelial Carcinoma With Squamous, Glandular, and Sarcomatoid Variants in a Horseshoe Kidney: A Novel Case Report and Literature Review.马蹄肾合并鳞状、腺性和肉瘤样变异型的上尿路尿路上皮癌：1例新病例报告及文献复习
Cureus. 2021 Nov 16;13(11):e19627. doi: 10.7759/cureus.19627. eCollection 2021 Nov.
2
Ureteral urothelial carcinoma with squamous cell carcinoma and sarcomatoid carcinoma differentiation: a case report.输尿管尿路上皮癌伴鳞状细胞癌和肉瘤样癌分化：一例报告。
BMC Surg. 2021 Feb 21;21(1):96. doi: 10.1186/s12893-021-01099-1.
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Sarcomatoid carcinoma of the urinary bladder: analysis of five cases and literature review.
膀胱肉瘤样癌五例分析并文献复习
Pan Afr Med J. 2020 Aug 29;36:369. doi: 10.11604/pamj.2020.36.369.25036. eCollection 2020.
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Bladder tumor recurrence after urothelial carcinoma of the upper urinary tract.上尿路尿路上皮癌后的膀胱肿瘤复发
Transl Androl Urol. 2020 Aug;9(4):1891-1896. doi: 10.21037/tau.2020.03.47.
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What Is the Significance of Variant Histology in Urothelial Carcinoma?尿路上皮癌中变异组织学的意义是什么？
Eur Urol Focus. 2020 Jul 15;6(4):653-663. doi: 10.1016/j.euf.2019.09.003. Epub 2019 Sep 15.
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Primary sarcomatoid urothelial carcinoma of the ureter: a case report and review of the literature.输尿管原发性肉瘤样尿路上皮癌：病例报告及文献复习。
World J Surg Oncol. 2018 Apr 13;16(1):77. doi: 10.1186/s12957-018-1383-9.
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Sarcomatoid urothelial carcinoma of the bladder: a contemporary clinicopathologic analysis of 37 cases.膀胱肉瘤样尿路上皮癌：37例病例的当代临床病理分析
Can J Urol. 2015 Jun;22(3):7783-7.
8
Sarcomatoid variant of urothelial carcinoma (carcinosarcoma, spindle cell carcinoma): a review of the literature.尿路上皮癌的肉瘤样变体（癌肉瘤、梭形细胞癌）：文献综述
ISRN Urol. 2014 Jan 22;2014:794563. doi: 10.1155/2014/794563. eCollection 2014.
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Sarcomatoid carcinoma of the urinary bladder: the final common pathway of urothelial carcinoma dedifferentiation.膀胱肉瘤样癌：尿路上皮癌去分化的最终共同途径。
Am J Surg Pathol. 2011 May;35(5):e34-46. doi: 10.1097/PAS.0b013e3182159dec.