酸脱酶缺陷 巨型细胞癌
Xia Sun1, Guang Wang1, Ziye Huang2
1The Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Urologia internationalis
|July 2, 2023
概括
酸脱酶缺陷细胞癌 (RCC) 是一种罕见的亚型,难以在手术前诊断. 这一案例突显了使用栓塞和手术成功管理大型,坚持不变的SDH缺乏RCC,在10个月后没有复发.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 缺酸脱酶 (SDH) 的细胞癌 (RCC) 是最近发现的亚型,占RCC病例的0.05-0.2%.
- 由于其稀有性和非特异性成像特征,对SDH缺乏RCC的术前诊断具有挑战性.
研究的目的:
- 报告一个严重的附着SDH缺乏RCC的病例,涉及下腔静脉.
- 讨论这种罕见的RCC亚型的管理策略和诊断考虑.
主要方法:
- 一名患有大,粘附性RCC的患者接受了手术前的动脉栓塞,随后进行了开放激素切除术.
- 手术后的组织病理学检查,包括对SDHB的免疫组织化学分析,证实了SDH缺乏RCC (pT2b阶段) 的诊断.
主要成果:
- 患者在10个月的随访后没有出现疾病复发的证据.
- 在手术前的栓塞成功地减少了手术期间的出血以及在这种大型RCC病例中需要输血的需要.
结论:
- 干预栓塞对于大型RCC来说是一个有价值的策略,以尽量减少手术并发症,最优的时间是在手术前3-4小时.
- 建议对年轻和中年患者 (尤其是45岁以下) 进行SDHB的免疫组织化学检查,以帮助诊断SDH缺乏RCC.
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