左肾巨大黏液样小管状和梭形细胞癌1例

尹宏宇, 张继

尹宏宇, 张继. 左肾巨大黏液样小管状和梭形细胞癌1例[J]. 实用临床医药杂志, 2022, 26(3): 113-116. DOI: 10.7619/jcmp.20213790
引用本文: 尹宏宇, 张继. 左肾巨大黏液样小管状和梭形细胞癌1例[J]. 实用临床医药杂志, 2022, 26(3): 113-116. DOI: 10.7619/jcmp.20213790
YIN Hongyu, ZHANG Ji. Huge left renal mucinous tubule and spindle cell carcinoma in one case[J]. Journal of Clinical Medicine in Practice, 2022, 26(3): 113-116. DOI: 10.7619/jcmp.20213790
Citation: YIN Hongyu, ZHANG Ji. Huge left renal mucinous tubule and spindle cell carcinoma in one case[J]. Journal of Clinical Medicine in Practice, 2022, 26(3): 113-116. DOI: 10.7619/jcmp.20213790

左肾巨大黏液样小管状和梭形细胞癌1例

基金项目: 

江苏省333高层次人才科研项目 BRA2020193

江苏省青年医学人才科研项目 QNRC2016509

江苏省高层次卫生人才“六个一工程”拔尖人才项目 LGY2018032

详细信息
    通讯作者:

    张继, E-mail: zj00151@126.com

  • 中图分类号: R692;R445

Huge left renal mucinous tubule and spindle cell carcinoma in one case

  • 摘要: 1例51岁女性患者因左腰腹疼痛伴肉眼血尿入院, CT检查提示左肾占位伴出血。患者行左肾切除术和肠粘连松解术, 术后病理检查诊断为左肾黏液样小管状和梭形细胞癌。随访7个月,患者无复发或转移。
    Abstract: A 51-year-old female patient was admitted to hospital due to left lumbar abdominal pain with hematuria. CT findings revealed that the left renal occupying with hemorrhage. Left nephrectomy combined with enterolysis was performed for the patient and the postoperative pathological examination confirmed her as mucinous tubular and spindle cell carcinoma of the left kidney. No recurrence or metastases were found after 7-month follow-up.
  • 图  1   左肾MTSCC患者的CT影像图

    A: CT平扫轴位图(左肾上极大小约16.2 cm×15.0 cm×11.2 cm肿块,呈不均匀低密度,内见斑片状高密度影及钙化影,边界尚清); B: CT增强扫描皮质期轴位图(CT值约为37 HU); C: CT增强扫描髓质期轴位图(CT值约49 HU); D: CT增强扫描排泄期轴位图(CT值约63 HU); E: CT髓质期冠状面重建图(左肾实质变薄,左肾盂肾盏受压,周围肠管向右侧推移); F: 三维重建正位图(左肾巨大占位,肿瘤较正常肾实质血供减少)。

    图  2   MTSCC术后病理图

    A: HE染色(放大倍数40倍); B: HE染色(放大倍数100倍)。

    图  3   MTSCC免疫组化染色图

    A: 角蛋白CK7(放大倍数40倍); B: Vimentin (放大倍数100倍)。

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出版历程
  • 收稿日期:  2021-09-21
  • 网络出版日期:  2022-03-10
  • 发布日期:  2022-02-14

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