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伴骨化生的TFE3重排肾细胞癌:1例具有罕见异常表现的罕见病例报告

TFE3-Rearranged Renal Cell Carcinoma With Osseous Metaplasia: A Case Report of a Rare Entity With an Unusual Finding.

作者信息

Bokhari Raghad A, Al-Zughbi Ali S, Bokhari Ziyad A

机构信息

Pathology and Laboratory Medicine, King Fahad Medical City, Riyadh, SAU.

Pathology and Laboratory Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Riyadh, SAU.

出版信息

Cureus. 2024 Nov 5;16(11):e73072. doi: 10.7759/cureus.73072. eCollection 2024 Nov.

DOI:10.7759/cureus.73072
PMID:39502747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11537417/
Abstract

-rearranged renal cell carcinoma (RCC) is a rare subtype of renal tumor that typically affects the pediatric age group. Previous exposure to chemotherapy agents increases the possibility of having this subtype. Morphologically, it displays a broad spectrum of growth patterns, but it can be distinguished by the presence of melanin pigment or psammoma bodies. Osseous metaplasia is an uncommon morphological finding in this particular subtype, and it has been reported in two cases in the literature. We describe the third case of -rearranged renal cell carcinoma with osseous metaplasia in a healthy 13-year-old male, presenting with worsening abdominal pain and hematuria.

摘要

重排性肾细胞癌(RCC)是一种罕见的肾肿瘤亚型,通常影响儿童年龄组。既往接触化疗药物会增加患此亚型的可能性。在形态学上,它表现出广泛的生长模式,但可通过黑色素沉着或砂粒体的存在来鉴别。骨化生在这种特殊亚型中是一种不常见的形态学表现,文献中已有两例报道。我们描述了第三例重排性肾细胞癌合并骨化生的病例,患者为一名13岁健康男性,表现为腹痛加重和血尿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4648/11537417/ce34c02bcb28/cureus-0016-00000073072-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4648/11537417/9d4aff2079e3/cureus-0016-00000073072-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4648/11537417/31820cb47502/cureus-0016-00000073072-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4648/11537417/ce34c02bcb28/cureus-0016-00000073072-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4648/11537417/9d4aff2079e3/cureus-0016-00000073072-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4648/11537417/31820cb47502/cureus-0016-00000073072-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4648/11537417/ce34c02bcb28/cureus-0016-00000073072-i03.jpg

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本文引用的文献

1
Re: WHO Classification of Tumours, 5th Edition, Volume 8: Urinary and Male Genital Tumours.关于:《世界卫生组织肿瘤分类》第5版,第8卷:泌尿系统和男性生殖系统肿瘤。
Eur Urol. 2023 Sep;84(3):348-349. doi: 10.1016/j.eururo.2023.04.030. Epub 2023 May 10.
2
-rearranged renal cell carcinoma with osseous metaplasia and indolent behaviour.伴有骨化生及惰性生物学行为的重排性肾细胞癌
Urol Case Rep. 2022 Feb 25;42:102041. doi: 10.1016/j.eucr.2022.102041. eCollection 2022 May.
3
Renal cell carcinoma in children and adolescents: Single-center experience and literature review.
儿童和青少年肾细胞癌:单中心经验和文献回顾。
Medicine (Baltimore). 2021 Jan 15;100(2):e23717. doi: 10.1097/MD.0000000000023717.