清细胞尿路细胞癌:一种罕见但恶毒和敌对的亚型
David S Buchinsky1, Rajpal Aujla2, Robert B Bracken2
1Wright State University Boonshoft School of Medicine Dayton, OH, USA.
American journal of clinical and experimental urology
|November 24, 2025
概括
清晰细胞尿路癌 (CCUC) 是一种罕见的膀癌变体. 本病例报告详细介绍了其独特的病理和进展情况,有助于未来的临床管理策略.
科学领域:
- 尿瘤学 尿瘤学
- 病理学 病理学 病理学
- 泌尿生殖系统的癌症
背景情况:
- 清晰细胞尿路癌 (CCUC) 是一种罕见的尿路癌变体,于1995年首次描述.
- 由于CCUC的临床罕见性,需要报告额外的病例,以告知外科和瘤管理.
研究的目的:
- 在89岁的男性中呈现一次初级CCUC病例.
- 要突出与CCUC相关的异常基因病理学发现.
- 为目前对CCUC的理解做出贡献,并为管理提供信息.
主要方法:
- 一个89岁的男性患有初级CCUC.的案例介绍.
- 对组织病理学发现的审查,包括清晰的细胞形态,非典型性和生长模式.
- 对瘤特征的分析,包括阶段进展和FGFR3突变.
- 关于CCUC诊断和治疗变化的文献综述.
主要成果:
- 患者最初呈现表面的,低度的TaCCUC.
- 五个月后,瘤进展为肌肉侵入性T3a尿路细胞癌.
- 组织病理学分析揭示了丰富的含有糖原的透明细胞和FGFR3突变.
- CCUC的特点是清晰的细胞质,严重的异型和嵌套生长模式,需要与其他清晰细胞瘤区分.
结论:
- 这个案例补充了关于CCUC的有限文献,强调了其进步的潜力.
- 从细胞癌和清细胞腺癌中精确地分辨病体学差异化是至关重要的.
- 对CCUC的管理策略各不相同,从局部切除到激进囊切除.
相关概念视频
Urinary Tract Calculi I: Introduction
383
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
383
Urinary Tract Infection I: Introduction
518
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
518
Classification of Epithelial Tissues: Stratified Epithelium
12.4K
Stratified epithelium consists of several stacked layers of cells. They provide the durability to withstand constant physical and chemical attacks. Stratified epithelium is named after the shape of the most apical layer of cells. Stratified squamous epithelium is the most common type found in the human body. In this tissue, the apical cells are squamous, whereas the basal layer contains either columnar or cuboidal cells. The basal cells divide to form new daughter cells, which gradually become...
12.4K
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
354
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
354
Skin Cancer
5.7K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
5.7K
Metastasis
6.3K
Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
6.3K


