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一例罕见的伴有腰大肌征的肾鳞状细胞癌病例。

A rare case of renal squamous cell carcinoma presenting with psoas sign.

作者信息

Priyatharsan K, Balagobi B, Heerthikan K, Thulasi T, Priyanka A, Sureska G

机构信息

Department of Surgery, Faculty of Medicine, University of Jaffna, Sri Lanka.

Department of Surgery, Faculty of Medicine, University of Jaffna, Sri Lanka.

出版信息

Int J Surg Case Rep. 2023 Sep;110:108732. doi: 10.1016/j.ijscr.2023.108732. Epub 2023 Aug 28.

Abstract

INTRODUCTION

Renal cancer is a relatively common form of cancer; however, squamous cell carcinoma of the kidney is extremely rare and it carries poor prognosis.

CLINICAL PRESENTATION

We present a rare case of renal squamous cell carcinoma that was manifested with the psoas sign in a patient with a history of chronic staghorn calculus.

DISCUSSION

Squamous cell carcinoma of kidney is rare and more invasive. Even though many risk factors have been identified, staghorn renal calculi with chronic infection have a higher incidence of renal squamous cell carcinoma (SCC). Squamous cell carcinoma (SCC) has a wider range of atypical presentations; the psoas sign is not commonly reported in other literature. Due to the lack of reporting and sufficient knowledge, there are currently no established management guidelines. Despite advancements in contemporary medicine, the survival rate of renal SCC remains remarkably low, necessitating further research to develop a standardized treatment protocol.

CONCLUSION

Primary renal SCCs are rare tumors and exhibit a strong association with renal stones, requiring prompt assessment and treatment of renal stones in affected patients. Despite their aggressiveness and poor prognosis, timely intervention is crucial.

摘要

引言

肾癌是一种相对常见的癌症形式;然而,肾鳞状细胞癌极为罕见,且预后较差。

临床表现

我们报告一例罕见的肾鳞状细胞癌病例,该病例在一名有慢性鹿角形结石病史的患者中表现为腰大肌征。

讨论

肾鳞状细胞癌罕见且侵袭性更强。尽管已确定许多危险因素,但伴有慢性感染的鹿角形肾结石发生肾鳞状细胞癌(SCC)的几率更高。鳞状细胞癌(SCC)有更广泛的非典型表现;腰大肌征在其他文献中并不常见。由于缺乏报道和足够的认识,目前尚无既定的管理指南。尽管当代医学有所进步,但肾SCC的生存率仍然极低,需要进一步研究以制定标准化的治疗方案。

结论

原发性肾SCC是罕见肿瘤,与肾结石密切相关,需要对受影响患者的肾结石进行及时评估和治疗。尽管它们具有侵袭性且预后不良,但及时干预至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecdc/10509870/29072fe2f315/gr1.jpg

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