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肾小管囊性肾细胞癌与真性红细胞增多症并存:一例罕见病例报告。

Coexistence of tubulocystic renal cell carcinoma and polycythemia vera: A rare case report.

作者信息

Wei Renjie, Liu Fudong, Luo Xu, Gong Chunyu, Ran Ruitu

机构信息

Department of Urology and Pelvic surgery, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Int J Immunopathol Pharmacol. 2024 Jan-Dec;38:3946320241307777. doi: 10.1177/03946320241307777.

DOI:10.1177/03946320241307777
PMID:39682070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650623/
Abstract

Tubulocystic Renal Cell Carcinoma (TC-RCC) and Polycythemia Vera (PV) are both infrequent medical conditions. TC-RCC was recognized as a distinct subtype of kidney cancer by the World Health Organization in 2016, while PV is a rare myeloproliferative neoplasm distinguished by the excessive production of red blood cells. The coexistence of these two conditions is exceptionally uncommon and lacks comprehensive documentation. This study presents a case report of a 35-year-old male patient who has been diagnosed with PV for the past 20 years. The patient underwent a radical nephrectomy to remove the renal tumor, and subsequent histopathological analysis confirmed the presence of TC-RCC. Throughout the 6-month follow-up period, the patient exhibited no signs of abnormalities. The rarity of the coexistence of TC-RCC and PV highlights the intricate nature of managing such instances, necessitating a cautious approach to diagnosis and treatment, particularly in surgical interventions. The present study serves as a valuable resource for diagnosing and treating individuals presenting with concurrent renal neoplasms and PV.

摘要

管状囊性肾细胞癌(TC-RCC)和真性红细胞增多症(PV)都是罕见的病症。TC-RCC于2016年被世界卫生组织认定为一种独特的肾癌亚型,而PV是一种罕见的骨髓增殖性肿瘤,其特征是红细胞过度生成。这两种病症同时存在极为罕见,且缺乏全面的文献记载。本研究报告了一名35岁男性患者的病例,该患者在过去20年中被诊断为PV。患者接受了根治性肾切除术以切除肾脏肿瘤,随后的组织病理学分析证实存在TC-RCC。在6个月的随访期内,患者未表现出异常迹象。TC-RCC和PV同时存在的罕见性凸显了处理此类病例的复杂性,需要谨慎的诊断和治疗方法,尤其是在手术干预方面。本研究为诊断和治疗同时患有肾肿瘤和PV的个体提供了宝贵的参考资料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/e81c9b5e9593/10.1177_03946320241307777-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/3642cd6b2bc3/10.1177_03946320241307777-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/28a2412f3281/10.1177_03946320241307777-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/6a6735cc9a0d/10.1177_03946320241307777-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/e81c9b5e9593/10.1177_03946320241307777-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/3642cd6b2bc3/10.1177_03946320241307777-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/28a2412f3281/10.1177_03946320241307777-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/6a6735cc9a0d/10.1177_03946320241307777-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6054/11650623/e81c9b5e9593/10.1177_03946320241307777-fig4.jpg

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本文引用的文献

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The association between albumin levels and survival in patients treated with immune checkpoint inhibitors: A systematic review and meta-analysis.免疫检查点抑制剂治疗患者中白蛋白水平与生存率的关联:一项系统评价和荟萃分析。
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Peripheral neuropathy and headache in cancer patients treated with immunotherapy and immuno-oncology combinations: the MOUSEION-02 study.
免疫治疗和免疫肿瘤组合治疗的癌症患者的周围神经病和头痛:MOUSEION-02 研究。
Expert Opin Drug Metab Toxicol. 2021 Dec;17(12):1455-1466. doi: 10.1080/17425255.2021.2029405. Epub 2022 Jan 24.
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Tubulocystic Renal Cell Carcinoma Is Not an Indolent Tumor: A Case Report of Recurrences in the Retroperitoneum and Contralateral Kidney.管状囊性肾细胞癌并非惰性肿瘤:腹膜后和对侧肾脏复发的病例报告。
Medicina (Kaunas). 2021 Aug 21;57(8):851. doi: 10.3390/medicina57080851.
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Renal Mass and Localized Renal Cancer: Evaluation, Management, and Follow-Up: AUA Guideline: Part I.肾脏肿块和局限性肾细胞癌:评估、管理和随访:AUA 指南:第 1 部分。
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Future Oncol. 2021 Jul;17(20):2671-2681. doi: 10.2217/fon-2021-0069. Epub 2021 Apr 21.
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