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儿童脑和肾的恶性横纹肌样瘤:临床和病理特征

Malignant rhabdoid tumor of the brain and kidney in a child: clinical and pathologic features.

作者信息

Cohn R D, Frank Y, Stanek A E, Kalina P

机构信息

Department of Neurology, North Shore University Hospital, Cornell University Medical College, Manhasset, New York 11030, USA.

出版信息

Pediatr Neurol. 1995 Jul;13(1):65-8. doi: 10.1016/0887-8994(95)00055-k.

Abstract

Malignant rhabdoid tumor (MRT) is most frequently found in the kidney, but can occur in other tissues including the brain. The simultaneous appearance of MRT in the brain and kidney has rarely been described. We report the first fully described case of simultaneous appearance of MRT in the kidney and cerebellum of an 8-month-old boy. Cytoplasmic inclusion-like masses, representing aggregates of intermediate filaments, positively stained by Vimentin and by epithelial membrane antigen, were abundant in the kidney tumor but rare in the cerebellar tumor, suggesting that this often-described characteristic of kidney MRT can be an infrequently observed feature of brain MRT, which consequently may be thought to represent another type of tumor.

摘要

恶性横纹肌样瘤(MRT)最常见于肾脏,但也可发生于包括脑在内的其他组织。脑和肾脏同时出现MRT的情况鲜有报道。我们报告首例8个月大男童肾脏和小脑同时出现MRT的完整病例。代表中间丝聚集物的胞质包涵体样肿块在肾肿瘤中大量存在,经波形蛋白和上皮膜抗原呈阳性染色,但在小脑肿瘤中少见,这表明肾MRT这一常被描述的特征在脑MRT中可能是罕见表现,因此可能被认为代表另一种肿瘤类型。

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