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一名63岁男性的独特病例报告:类似甲状腺肿瘤的甲状腺样肾细胞癌。

A unique case report in a 63-year-old male: Thyroid-like renal carcinoma mimicking thyroid neoplasm.

作者信息

Mahmoud Mustafa Ziad, Jaweesh Shkri, Trabulsi Mouhammad, Hassani Amr Almalla, Alhomsi Yazen, Alhomsi Khaled

机构信息

Urologist - Kidney Transplant Specialist-Damascus hospital, Damascus, Syria.

Faculty of Medicine, Al-Sham Private University, Damascus, Syria.

出版信息

Int J Surg Case Rep. 2025 Jan;126:110700. doi: 10.1016/j.ijscr.2024.110700. Epub 2024 Dec 2.

Abstract

INTRODUCTION AND SIGNIFICANCE

Thyroid-like follicular carcinoma of the kidney is an exceedingly rare neoplasm. Only a few cases have been reported in the literature. This tumor often presents with no specific symptoms and is frequently discovered incidentally during imaging studies. Diagnosis relies primarily on histological examination and the exclusion of thyroid markers.

CASE PRESENTATION

We present the case of a male patient who presented with flank pain and hematuria. A right renal mass was identified and subsequently underwent complete surgical resection. Histological analysis of the mass revealed Thyroid-like follicular carcinoma.

CLINICAL DISCUSSION

Despite its rarity, thyroid-like follicular carcinoma of the kidney should be considered in the differential diagnosis of renal lesions.

CONCLUSION

The low-grade malignancy and low metastatic potential associated with this tumor are encouraging factors. Further studies are necessary to better understand the pathogenesis of this rare neoplasm. Such knowledge is crucial for improving patient outcomes and investigating potential associations with conditions like hypertension.

摘要

引言与意义

肾甲状腺样滤泡癌是一种极其罕见的肿瘤。文献中仅报道了少数病例。该肿瘤通常无特异性症状,常在影像学检查时偶然发现。诊断主要依靠组织学检查并排除甲状腺标志物。

病例介绍

我们报告一例男性患者,其表现为胁腹痛和血尿。发现右肾肿物,随后进行了完整的手术切除。肿物的组织学分析显示为甲状腺样滤泡癌。

临床讨论

尽管肾甲状腺样滤泡癌罕见,但在肾病变的鉴别诊断中应予以考虑。

结论

该肿瘤的低恶性程度和低转移潜能是令人鼓舞的因素。需要进一步研究以更好地理解这种罕见肿瘤的发病机制。此类知识对于改善患者预后以及研究与高血压等疾病的潜在关联至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cfd/11684405/f18415062063/gr1.jpg

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