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中华腔镜泌尿外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (06) : 526 -529. doi: 10.3877/cma.j.issn.1674-3253.2021.06.017

病例研究

原发性肾未分化多形性肉瘤一例报道并文献复习
吴涛1, 何君伟1, 代睿欣1, 潘俊1, 王昭辉1, 白遵光1,()   
  1. 1. 510120 广州,广州中医药大学第二附属医院
  • 收稿日期:2021-01-30 出版日期:2021-12-01
  • 通信作者: 白遵光

Primary renal undifferentiated pleomorphic sarcoma:a case report and literature review

Tao Wu1, Junwei He1, Ruixing Dai1, Jun Pan1, Zhaohui Wang1, Zunguang Bai1,()   

  1. 1. Department of Urology, the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, China
  • Received:2021-01-30 Published:2021-12-01
  • Corresponding author: Zunguang Bai
引用本文:

吴涛, 何君伟, 代睿欣, 潘俊, 王昭辉, 白遵光. 原发性肾未分化多形性肉瘤一例报道并文献复习[J]. 中华腔镜泌尿外科杂志(电子版), 2021, 15(06): 526-529.

Tao Wu, Junwei He, Ruixing Dai, Jun Pan, Zhaohui Wang, Zunguang Bai. Primary renal undifferentiated pleomorphic sarcoma:a case report and literature review[J]. Chinese Journal of Endourology(Electronic Edition), 2021, 15(06): 526-529.

目的

报道1例原发性肾未分化多形性肉瘤罕见病例,并进行文献复习。

方法

回顾性分析2018年10月我院收治的1例原发性肾脏未分化多形性肉瘤的临床资料并查阅相关文献。

结果

该例患者于2018年11月行腹腔镜下右肾根治性切除术,术后病理结果提示未分化多形性肉瘤,患者拒绝行辅助放化疗,术后8个月死于肿瘤复发转移。

结论

原发性肾脏未分化多形性肉瘤极其罕见,发病率低,恶性程度高,对放化疗不敏感,预后差,治疗手段主要是早期行手术切除。

Objective

To report a rare case of primary renal undifferentiated pleomorphic sarcoma and review the literature.

Methods

The clinical data of a case of primary renal pleomorphic undifferentiated sarcoma in October 2018 were retrospectively analyzed and the relevant references were reviewed.

Results

The patient underwent laparoscopic radical nephrectomy and the postoperative pathological results indicated undifferentiated pleomorphic sarcoma. The patient refused adjuvant chemoradiotherapy, and died of tumor recurrence and mctastasis 8 months after surgery.

Conclusion

Primary renal undifferentiated pleomorphic sarcoma is extremely rare, with low incidence and high degree of malignancy. Primary undifferentiated pleomorphic sarcoma has a poor prognosis which is not sensitive to radiotherapy and chemotherapy. The primary treatment is early surgical excision.

图5 免疫组化结果示Vimentin呈阳性表达
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