摘要
目的探讨肾黏液样小管状和梭形细胞癌(mucinous tubular and spindle cell carcinoma,MTSCC)的临床病理特征及预后。方法回顾性分析2015年1月至2019年12月广西医科大学第一附属医院泌尿外科病理确诊的3例肾MTSCC患者的临床资料,总结其临床病理特征、治疗和预后,并结合文献资料进行分析。结果3例患者均为女性,发病年龄分别为56、70、77岁。3例患者均无临床症状,其中左侧1例,右侧2例,肿瘤直径分别为3.6、4.8、5.3 cm。3例患者均行后腹腔镜根治性肾切除术,病理确诊均为肾MTSCC。3例患者随访时间分别为12、36、43个月,均未发现肿瘤复发和转移。结论结合文献复习,肾MTSCC临床罕见,无典型临床表现和影像学特征,术前诊断困难,确诊依靠病理,根治性切除术后患者预后良好。
Objective This study aimed to investigate the clinicopathological characteristics and prognosis of mucinous tubular and spindle cell carcinoma(MTSCC)of the kidney.Methods The clinical data for three cases with kidney MTSCC were retrospectively analyzed between January 2015 and December2019 at the Urology Department of the First Affiliated Hospital of Guangxi Medical University.The clinicopathological characteristics,treatment and prognosis of patients with kidney MTSCC were summarized.Results All cases were in women.The ages at diagnosis was 56,70 and 77 years.All of patients had no clinical symptoms.Two patients had unilateral tumors on the right side,and one patient had a unilateral tumor on the left side.The tumor diameters were individualy 3.6,5.2 and 5.3 cm.All patients underwent retroperitoneal laparoscopic radical nephrectomy.The diagnosis of kidney MTSCC was confirmed through pathological examination.The follow-up period was 12,36 and 43 months.No patients showed recurrence or metastasis.Conclusion On the basis of our findings and literature review,preoperative diagnosis of kidney MTSCC remains difficult because of the lack of typical clinical manifestations and imaging features.The final diagnosis relies mainly on histopathological examination.Kidney MTSCC has a relatively good prognosis after radical nephrectomy.
作者
吴清国
易楚繁
张明津
马春雷
付伟金
Wu Qingguo;Yi Chufan;Zhang Mingjin;Ma Chunlei;Fu Weijin(Department of Urology,The First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,530022,China;Department of Urology,Guigang City People’s Hospital,Guigang,Guangxi,537199,China)
出处
《泌尿外科杂志（电子版）》
2021年第4期114-117,共4页
Journal of Urology for Clinicians(Electronic Version)
基金
广西医疗卫生适宜技术开发与推广应用项目(S2017034)
广西卫健委2021年西医自筹课题(20211625)
关键词
肾黏液样小管状和梭形细胞癌
诊断
预后
治疗
Renal myxoid tubular and spindle cell carcinoma
Diagnosis
Prognosis
Treatment
