一个奇怪的案例:同时收集管道细胞癌和上道尿路细胞癌
Adib Rahman1, Daniel Matheson2, Joanna Perry-Keene2
1Department of Urology, Toowoomba Base Hospital, Queensland Health, Queensland, Australia.
Urology case reports
|March 25, 2024
概括
一个罕见的侵袭性癌病例,集结管癌,表现为出血和昏迷. 这种晚期的脏恶性瘤需要彻底的切除术,但不幸的是导致了迅速的衰退和死亡.
科学领域:
- 尿瘤学 尿瘤学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 病理学 病理学 病理学
背景情况:
- 收藏管癌 (CDC) 是一种罕见且具有攻击性的癌亚型.
- 患者经常出现晚期疾病和不良预后.
- 麻性综合征可以呈现脏恶性瘤的特征.
研究的目的:
- 报告一种高度收藏管癌与同时存在的侵袭性尿路细胞癌的病例.
- 突出这一罕见实体的临床表现,诊断挑战和管理.
主要方法:
- 一名71岁的男性患者患有出血和昏迷,接受了对比增强CT.
- 对一个大,侵入性的质进行了左根切除术.
- 组织病理学检查证实了高度收藏管癌和侵袭性尿路细胞癌.
主要成果:
- 扫描显示了一个8x6厘米的左上极损伤侵入上皮层静脉与异常的淋巴结.
- 组织学证实了高等级的收藏管癌和侵入性尿路细胞癌.
- 患者患有瘤综合征,在诊断后两个月去世.
结论:
- 收藏管脏癌是一种具有不良预后的侵袭性癌症,经常出现晚期.
- 同时可能发生尿路细胞癌,使诊断和治疗复杂化.
- 对于这些罕见且具有攻击性的瘤而言,多学科管理至关重要.
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