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原发性肾非典型类癌15年后出现腹膜后转移：1例病例报告及文献复习

Atypical carcinoid of the primary kidney with retroperitoneal metastasis 15 years later: A case report and literature review.

作者信息

Wang Qiang, Zhuo Dong, Huang Houbao, Tao Jianping

机构信息

Department of Orthopedics, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241001, Anhui, PR China.

出版信息

Urol Case Rep. 2024 Nov 21;58:102893. doi: 10.1016/j.eucr.2024.102893. eCollection 2025 Jan.

DOI:10.1016/j.eucr.2024.102893
PMID:39660096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629262/
Abstract

Primary renal neuroendocrine tumors (NETs) are extremely rare among renal malignancies. According to pathological manifestations, carcinoid can be divided into four types: typical carcinoid, atypical carcinoid, large cell and small cell neuroendocrine carcinoma. Primary or secondary retroperitoneal carcinoid is even rarer than renal carcinoid. This article reports a patient with renal carcinoid complicated with retroperitoneal metastasis, who developed retroperitoneal metastasis 15 years after radical nephrectomy. Through the analysis of this case and the combination of the existing published literature, it is aimed to provide valuable references for clinicians in treating patients with renal carcinoid or with metastasis.

摘要

原发性肾神经内分泌肿瘤（NETs）在肾恶性肿瘤中极为罕见。根据病理表现，类癌可分为四种类型：典型类癌、非典型类癌、大细胞和小细胞神经内分泌癌。原发性或继发性腹膜后类癌比肾类癌更为罕见。本文报道了1例肾类癌合并腹膜后转移患者，该患者在根治性肾切除术后15年出现腹膜后转移。通过对该病例的分析并结合现有已发表文献，旨在为临床医生治疗肾类癌或有转移的患者提供有价值的参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/53e2bcfada12/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/6f27a36e69fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/7a9d698ebcb8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/8b4c5d4243d5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/03bfcf649a4d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/53e2bcfada12/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/6f27a36e69fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/7a9d698ebcb8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/8b4c5d4243d5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/03bfcf649a4d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc7/11629262/53e2bcfada12/gr5.jpg

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本文引用的文献

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Neuroendocrine tumor theranostics.神经内分泌肿瘤的治疗与诊断。
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2
Clinicopathologic Features and Survival Outcomes for Primary Renal Neuroendocrine Neoplasms.原发性肾神经内分泌肿瘤的临床病理特征和生存结局。
Clin Genitourin Cancer. 2021 Apr;19(2):155-161. doi: 10.1016/j.clgc.2020.10.010. Epub 2020 Nov 10.
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Immunohistochemistry in the diagnosis and classification of neuroendocrine neoplasms: what can brown do for you?免疫组织化学在神经内分泌肿瘤的诊断和分类中的应用：棕色能为你做些什么？
Hum Pathol. 2020 Feb;96:8-33. doi: 10.1016/j.humpath.2019.12.002. Epub 2019 Dec 17.
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Carcinoid Syndrome: Updates and Review of Current Therapy.类癌综合征：最新治疗进展及综述。
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Primary renal well-differentiated neuroendocrine tumour (carcinoid): next-generation sequencing study of 11 cases.原发性肾脏高分化神经内分泌肿瘤（类癌）：11 例的下一代测序研究。
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Primary renal well-differentiated neuroendocrine tumors: report of six cases with an emphasis on the Ki-67 index and mitosis.原发性肾高分化神经内分泌肿瘤：6例报告并着重分析Ki-67指数和有丝分裂情况
Diagn Pathol. 2019 Feb 7;14(1):12. doi: 10.1186/s13000-019-0791-7.
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Five New Cases of Primary Renal Carcinoid Tumor: Case Reports and Literature Review.五例原发性肾类癌肿瘤：病例报告及文献复习。
Pathol Oncol Res. 2020 Jan;26(1):341-346. doi: 10.1007/s12253-018-0481-x. Epub 2018 Oct 25.
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Frequency of carcinoid syndrome at neuroendocrine tumour diagnosis: a population-based study.神经内分泌肿瘤诊断时类癌综合征的发生率：一项基于人群的研究。
Lancet Oncol. 2017 Apr;18(4):525-534. doi: 10.1016/S1470-2045(17)30110-9. Epub 2017 Feb 24.
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Renal carcinoid tumor with liver metastasis followed up postoperatively for 9 years.肾类癌伴肝转移，术后随访9年。
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