Lesourd B, Peyrat L, Haillot O, Lanson Y
Service d'Urologie, Hôpital Bretonneau, Tours.
Ann Urol (Paris). 1998;32(3):133-7.
We report the case of a young pregnant woman with a malignant tumour of the kidney suggestive of oncocytoma. Because of the pregnancy, preoperative staging consisted of abdominal ultrasound and magnetic resonance imaging. Caesarean section was performed. Several days later, surgical exploration of the kidney was performed with tumourectomy and frozen section analysis: radical nephrectomy was finally performed. The definitive histology was chromophobe renal cell carcinoma. This is a rare tumour of the kidney, with its own characteristics allowing histopathological diagnosis and with a better prognosis than renal cell carcinoma. In the literature, pregnancy, a situation of immune depression, does not increase the prevalence of malignant neoplasms.
我们报告了一例年轻孕妇的病例,其患有提示为嗜酸细胞瘤的肾脏恶性肿瘤。由于怀孕,术前分期包括腹部超声和磁共振成像。进行了剖宫产。几天后,对肾脏进行了手术探查并进行了肿瘤切除术和冰冻切片分析:最终进行了根治性肾切除术。最终组织学检查为嫌色细胞肾细胞癌。这是一种罕见的肾脏肿瘤,具有其自身可进行组织病理学诊断的特征,且预后比肾细胞癌更好。在文献中,怀孕这种免疫抑制状态并不会增加恶性肿瘤的患病率。