Mahmoud Mustafa, Trabulsi Mouhammad
Damascus Hospital, Damascus, Syria.
Damascus Hospital, Damascus, Syria.
Int J Surg Case Rep. 2025 Jan;126:110738. doi: 10.1016/j.ijscr.2024.110738. Epub 2024 Dec 14.
Eosinophilic solid and cystic renal cell carcinoma (ESC RCC) is a rare renal tumor primarily associated with female patients and those with tuberous sclerosis complex (TSC). Despite lacking distinct clinical or radiological features, its unique histological characteristics allow for differentiation from other renal neoplasms. While it often exhibits indolent growth, metastatic potential remains a concern. Surgical resection with pathological confirmation is the standard of care.
We present a case of a patient who presented with mild flank pain. Successful treatment was achieved, followed by a 12-month uneventful follow-up.
ESC RCC typically demonstrates a favorable prognosis, often detected at an early stage. However, complete surgical resection with adjunct imaging is recommended to rule out metastatic disease. Despite its indolent nature, a vigilant approach is warranted due to the potential for incomplete tumor visualization.
This case report contributes to the growing body of literature on ESC RCC. By documenting our experience and reviewing the existing literature, we aim to enhance our understanding of this rare entity and optimize patient care.
嗜酸性实性和囊性肾细胞癌(ESC RCC)是一种罕见的肾肿瘤,主要与女性患者以及患有结节性硬化症(TSC)的患者相关。尽管缺乏明显的临床或影像学特征,但其独特的组织学特征使其能够与其他肾肿瘤相鉴别。虽然它通常生长缓慢,但转移潜能仍是一个令人担忧的问题。手术切除并经病理证实是标准的治疗方法。
我们报告一例患者,该患者表现为轻度侧腹痛。治疗成功,随后进行了12个月的无异常随访。
ESC RCC通常预后良好,常在早期被发现。然而,建议进行完整的手术切除并辅以影像学检查以排除转移性疾病。尽管其生长缓慢,但由于可能无法完全观察到肿瘤,仍需保持警惕。
本病例报告为关于ESC RCC的文献积累做出了贡献。通过记录我们的经验并回顾现有文献,我们旨在加深对这种罕见疾病的理解并优化患者护理。