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老年卵巢癌患者中酷似肾细胞癌的肾假性肿瘤:病例报告及文献复习

Renal pseudotumor mimicking renal cell carcinoma in an elderly patient with ovarian carcinoma: Case report and literature review.

作者信息

Althammer Maximilian, Kroencke Thomas, Decker Josua A

机构信息

Department of Diagnostic and Interventional Radiology University Hospital Augsburg Augsburg Germany.

出版信息

Radiol Case Rep. 2024 Dec 19;20(3):1410-1416. doi: 10.1016/j.radcr.2024.11.063. eCollection 2025 Mar.

Abstract

This case report is about an 84-year-old female patient with a history of high-grade serous ovarian carcinoma who was diagnosed with a renal pseudotumor. Initial imaging in February 2023 showed signs of a renal cell carcinoma and possible lung metastases. A CT-guided biopsy and histopathological analysis ruled out malignancy and confirmed a benign inflammatory pseudotumor. This case underlines the importance of a biopsy to avoid unnecessary treatments such as nephrectomy and emphasizes the worth of comprehensive diagnostic evaluation. These steps are important to prevent unnecessary surgical interventions, overtreatment and to focus on effective, targeted therapy for the actual underlying pathology.

摘要

本病例报告是关于一名84岁的女性患者,她有高级别浆液性卵巢癌病史,被诊断为肾假瘤。2023年2月的初始影像学检查显示有肾细胞癌迹象及可能的肺转移。经CT引导下活检及组织病理学分析排除了恶性肿瘤,确诊为良性炎性假瘤。该病例强调了活检对于避免诸如肾切除术等不必要治疗的重要性,并强调了全面诊断评估的价值。这些步骤对于防止不必要的手术干预、过度治疗以及专注于针对实际潜在病理的有效、靶向治疗非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0937/11728662/5666d076a02b/gr1.jpg

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