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分泌肾素的嫌色细胞肾细胞癌:年轻女性继发性高血压的罕见病因。

Renin-secreting chromophobe renal cell carcinoma: An uncommon cause of secondary hypertension in a young female.

作者信息

Jarrar Tareq, Jafar Hamam Younes, Al Kayed Hadeel Abdallah, Alrabadi Bassel Esmat, Milhem Ayham Kamel, Alqatawna Maryam Hisham, Odaibat Husam

机构信息

Al-Quds University, Jerusalem, Palestine.

University of Jordan, Amman, Jordan.

出版信息

Urol Case Rep. 2025 Mar 15;60:103011. doi: 10.1016/j.eucr.2025.103011. eCollection 2025 May.

DOI:10.1016/j.eucr.2025.103011
PMID:40201448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978363/
Abstract

Renal cell carcinoma (RCC) is a rare but significant cause of secondary hypertension. Chromophobe RCC represents 5 % of all RCC cases, with renin secretion being even rarer. We report a case of a 32-year-old female with six-month history of uncontrolled hypertension. Laboratory findings showed elevated plasma renin and aldosterone levels. Imaging revealed a large left renal mass. After radical nephrectomy, histopathology confirmed chromophobe RCC. Her blood pressure normalized postoperatively, and she was normotensive at 1-month follow-up. This case underscores the importance of considering renal tumors in hypertensive patients and the role of surgery in achieving favorable outcomes.

摘要

肾细胞癌(RCC)是继发性高血压的一种罕见但重要的病因。嫌色性肾细胞癌占所有肾细胞癌病例的5%,肾素分泌更为罕见。我们报告一例32岁女性,有6个月未控制的高血压病史。实验室检查结果显示血浆肾素和醛固酮水平升高。影像学检查发现左肾有一个大肿块。根治性肾切除术后,组织病理学证实为嫌色性肾细胞癌。她的血压术后恢复正常,1个月随访时血压正常。该病例强调了在高血压患者中考虑肾肿瘤的重要性以及手术在取得良好预后中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c6/11978363/92d26d6afe1b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c6/11978363/70bb41346b90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c6/11978363/f39a1173fbe8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c6/11978363/92d26d6afe1b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c6/11978363/70bb41346b90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c6/11978363/f39a1173fbe8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99c6/11978363/92d26d6afe1b/gr3.jpg

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Cureus. 2024 Jun 8;16(6):e61940. doi: 10.7759/cureus.61940. eCollection 2024 Jun.
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Transcription factor E3 renal cell carcinoma presenting as secondary hypertension.表现为继发性高血压的转录因子E3肾细胞癌。
Curr Urol. 2023 Mar;17(1):58-61. doi: 10.1097/CU9.0000000000000108. Epub 2022 Aug 2.
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A case of primary renal oncocytic tumor: Chromophobe renal cell carcinoma or oncocytoma?
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IJU Case Rep. 2022 Sep 16;6(1):18-21. doi: 10.1002/iju5.12535. eCollection 2023 Jan.
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Renin Production by Juxtaglomerular Cell Tumors and Clear Cell Renal Cell Carcinoma and the Role of Angiotensin Signaling Inhibitors.肾小球旁细胞瘤和透明细胞肾细胞癌的肾素产生及血管紧张素信号抑制剂的作用。
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Chromophobe Renal Cell Carcinoma with Radiologic-Pathologic Correlation.嫌色细胞性肾细胞癌的影像学-病理学相关性。
Radiographics. 2021 Sep-Oct;41(5):1408-1419. doi: 10.1148/rg.2021200206. Epub 2021 Aug 13.
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Comprehensive review of chromophobe renal cell carcinoma.嫌色细胞性肾细胞癌的综合综述。
Crit Rev Oncol Hematol. 2021 Apr;160:103287. doi: 10.1016/j.critrevonc.2021.103287. Epub 2021 Mar 19.
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Paraneoplastic secondary hypertension due to a renin-secreting desmoplastic small round cell tumor: A case report.由分泌肾素的促结缔组织增生性小圆细胞瘤引起的副肿瘤性继发性高血压:一例报告
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