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1例罕见的由小唾液腺腺样囊性癌引起的双侧肾转移病例。

A rare case of bilateral renal metastases arising from minor salivary gland adenoid cystic carcinoma.

作者信息

Kristensen Mona Løgtholt, Nelsson Henriette, Riis Sandra Simony Tornøe, Bjørndal Kristine, Graumann Ole, Junker Theresa

机构信息

Department of Radiology, Odense University Hospital, Kløvervænget 47, Entrance 27, 5000, Odense C, Denmark.

Research and Innovation Unit of Radiology, University of Southern Denmark, Kløvervænget 10, Entrance 112, 5000, Odense C, Denmark.

出版信息

Urol Case Rep. 2023 May 25;49:102450. doi: 10.1016/j.eucr.2023.102450. eCollection 2023 Jul.

DOI:10.1016/j.eucr.2023.102450
PMID:37288320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10242486/
Abstract

A 67-year-old female patient was diagnosed with bilateral renal metastases from adenoid cystic carcinoma (AdCC) of salivary gland origin five years after the primary diagnosis of minor salivary gland AdCC. Bilateral renal core needle biopsies were performed to distinguish primary renal cell carcinoma (RCC) from metastases and to guide treatment strategy. Few similar cases have been reported; none had bilateral metastases at the time of discovery or biopsy-verified AdCC metastases prior to the treatment decision. RCC was a tentative diagnosis and renal metastases of AdCC have previously been mistaken for RCC.

摘要

一名67岁女性患者在小涎腺腺样囊性癌(AdCC)初次诊断五年后,被诊断为唾液腺来源的腺样囊性癌双侧肾转移。进行了双侧肾芯针穿刺活检,以区分原发性肾细胞癌(RCC)与转移瘤,并指导治疗策略。鲜有类似病例报道;在发现时没有双侧转移的情况,或在做出治疗决定之前没有经活检证实的AdCC转移瘤。RCC是初步诊断,AdCC的肾转移瘤此前曾被误诊为RCC。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a0/10242486/308e8dd78790/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a0/10242486/37cc86f90b22/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a0/10242486/61c97e6ee008/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a0/10242486/308e8dd78790/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a0/10242486/37cc86f90b22/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a0/10242486/61c97e6ee008/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a0/10242486/308e8dd78790/gr3.jpg

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本文引用的文献

1
Salivary gland cancer: ESMO-European Reference Network on Rare Adult Solid Cancers (EURACAN) Clinical Practice Guideline for diagnosis, treatment and follow-up.唾液腺癌:ESMO-欧洲罕见成人实体瘤参考网络(EURACAN)诊断、治疗和随访临床实践指南。
ESMO Open. 2022 Dec;7(6):100602. doi: 10.1016/j.esmoop.2022.100602. Epub 2022 Nov 2.
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A curious case of metastatic parotid adenoid cystic carcinoma to kidney.转移性腮腺腺样囊性癌至肾脏的罕见病例。
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1990 - 2005年丹麦涎腺腺样囊性癌:预后及独立预后因素,包括放疗的益处。丹麦头颈癌研究组(DAHANCA)的结果
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