Renal oncocytoma associated with potentially malignant: report of one case and review of literatures
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摘要: 目的：探讨肾嗜酸细胞腺瘤的诊断、治疗和预后，提高肾嗜酸细胞腺瘤的诊疗水平。方法：对本院1例肾嗜酸细胞腺瘤患者的临床特点、治疗方法、病理特征以及治疗预后进行分析，并结合文献探讨其鉴别诊断及治疗预后。结果：影像学诊断为肾脏肿物，术后病理学检查为肾嗜酸细胞腺瘤，灶性侵犯肾实质，伴潜在恶性。对其实施根治性肾切除术并术后免疫治疗。结论：肾嗜酸细胞腺瘤是一种罕见的肾脏良性肿瘤，极少数潜在恶性或恶变，男女均可发病，术前诊断较困难易误诊为肾癌。治疗首选保留肾单位手术，对有潜在恶性和恶性的以肾癌治疗指南来进行，并且密切随访。Abstract: Objective: To investigate the diagnosis, therapy and prognosis of renal oncocytoma.Method: Clinical characteristics, histological features, treatment methods, and prognosis were observed in the patient of renal oncocytoma. The prognosis and differential diagnosis of such disease were discussed referred to some related literatures.Result: Iconography showed kidney mass. Pathological examination showed renal oncocytoma associated with potentially malignant. The patient received radical nephrectomy and postoperative immunotherapy.Conclusion: Renal oncocytoma is an uncommon benign tumor hardly associated with potentially malignant or canceration. Both men and women suffer from this disease. Preoperative diagnosis is difficult and may be misdiagnosed as renal cell carcinoma. The treatment of first choice is nephron-sparing surgery. Kidney cancer guidelines and close follow-up are needed when potentially malignant and canceration are inevitable.
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Key words:
- eosinophil tumor /
- kidney cancer /
- renal oncocytoma
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