腹腔镜下肾部分切除术治疗1例肾脏孤立性纤维瘤（英文）
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摘要
患者,女性,27岁,发现右肾肿物两年就诊于我科。我科对该患者行腹腔镜下肾部分切除术。术后免疫组织化学检测发现肿瘤细胞表达CD34、上皮膜抗原、bcl-2和CD99阳性,诊断为孤立性纤维瘤。术后未行辅助治疗。患者目前身体状况良好,术后2年未发现局部复发或转移。我们认为肾孤立性纤维瘤行腹腔镜下肾部分切除术,术后效果较好,是根治性肾切除术之外的一种可选的治疗方式。然而仍然需要对该患者进一步随访,并且对比更多的肾孤立性纤维瘤患者行腹腔镜部分肾切除术与根治性肾切除术之间的肿瘤结局。
We herein reported a 27-year-old woman with a right renal mass for two years. She underwent laparoscopic partial nephrectomy. Immunohistochemical examination of the specimen confirmed the diagnosis of solitary fibrous tumor by revealing its positive staining for cluster of differentiation(CD)34, epithelial membrane antigen(EMA), B-cell lymphoma-2(Bcl-2) and CD99 in the tumor cells. No adjuvant treatment was carried out. The patient was in good health without local recurrence or metastasis during 2 years of follow-up. Laparoscopic partial nephrectomy for renal solitary fibrous tumor is an alternative treatment to radical nephrectomy. It can provide a good outcome. However, further follow-up and more cases of renal solitary fibrous tumor treated with laparoscopic partial nephrectomy are necessary to compare the oncological outcome with radical nephrectomy.
We herein reported a 27-year-old woman with a right renal mass for two years. She underwent laparoscopic partial nephrectomy. Immunohistochemical examination of the specimen confirmed the diagnosis of solitary fibrous tumor by revealing its positive staining for cluster of differentiation(CD)34, epithelial membrane antigen(EMA), B-cell lymphoma-2(Bcl-2) and CD99 in the tumor cells. No adjuvant treatment was carried out. The patient was in good health without local recurrence or metastasis during 2 years of follow-up. Laparoscopic partial nephrectomy for renal solitary fibrous tumor is an alternative treatment to radical nephrectomy. It can provide a good outcome. However, further follow-up and more cases of renal solitary fibrous tumor treated with laparoscopic partial nephrectomy are necessary to compare the oncological outcome with radical nephrectomy.
引文
1.Kuroda N,Ohe C,Sakaida N,et al.Solitary fibrous tumor of the kidney with focus on clinical and pathobiological aspects.Int J Clin Exp Pathol 2014;7(6):2737-42.
2.de Perrot M,Fischer S,Bründler MA,et al.Solitary fibrous tumors of the pleura.Ann Thorac Surg 2002;74(1):285-93.doi:10.1016/S0003-4975(01)03374-4.
3.Kayani B,Sharma A,Sewell MD,et al.A review of the surgical management of extrathoracic solitary fibrous tumors.Am J Clin Oncol 2016;10.doi:10.1097/COC.0000000000000348.
4.Chuang IC,Liao KC,Huang HY,et al.NAB2-STAT6gene fusion and STAT6 immunoexpression in extrathoracic solitary fibrous tumors:the association between fusion variants and locations.Pathol Int 2016;66(5):288-96.doi:10.1111/pin.12408.
5.Usuba W,Sasaki H,Yoshie H,et al.Solitary fibrous tumor of the kidney developing local recurrence.Case Rep Urol 2016;2016:1-8.doi:10.1155/2016/2426874.
6.Cuello J,Brugés R.Malignant solitary fibrous tumor of the kidney:report of the first case managed with interferon.Case Rep Oncol Med 2013;2013:1-6.doi:10.1155/2013/564980.
7.Khater N,Khauli R,Shahait M,et al.Solitary fibrous tumors of the kidneys:presentation,evaluation,and treatment.Urol Int 2013;91(4):373-83.doi:10.1159/000354394.
8.Sasaki H,Kurihara T,Katsuoka Y,et al.Distant metastasis from benign solitary fibrous tumor of the kidney.Case Rep Nephrol Urol 2013;3(1):1-8.doi:10.1159/000346850.
9.Makris A,Tabaza R,Brehmer B,et al.Solitary fibrous tumor of the kidney:a case report.Can J Urol 2009;16(5):4854-6.
10.Kutikov A,Uzzo RG.The R.E.N.A.L.nephrometry score:a comprehensive standardized system for quantitating renal tumor size,location and depth.J Urol 2009;182(3):844-53.doi:10.1016/j.juo.2009.05.035.
11.Ide F,Obara K,Mishima K,et al.Ultrastructural spectrum of solitary fibrous tumor:a unique perivascular tumor with alternative lines of differentiation.Virchows Arch 2005;446(6):646-52.doi:10.1007/s00428-005-1261-z.
12.Gelb AB,Simmons ML,Weidner N.Solitary fibrous tumor involving the renal capsule.Am J Surg Pathol1996;20(10):1288-95.doi:10.1097/00000478-199610000-00016.
13.Park SB,Park YS,Kim JK,et al.Solitary fibrous tumor of the genitourinary tract.AJR Am J Roentgenol 2011;196(2):W132-7.doi:10.2214/AJR.09.3787.
14.Hirano D,Mashiko A,Murata Y,et al.A case of solitary fibrous tumor of the kidney:an immunohistochemical and ultrastructural study with a review of the literature.Med Mol Morphol 2009;42(4):239-44.doi:10.1007/s00795-009-0456-9.
15.MacLennan GT,Cheng L.Solitary fibrous tumor of the kidney.J Urol 2009;181(6):2731-2.doi:10.1016/j.juro.2009.03.006.
16.Wang H,Liao Q,Liao X,et al.A huge malignant solitary fibrous tumor of kidney:case report and review of the literature.Diagn Pathol 2014;9:13.doi:10.1186/1746-1596-9-13.
2.de Perrot M,Fischer S,Bründler MA,et al.Solitary fibrous tumors of the pleura.Ann Thorac Surg 2002;74(1):285-93.doi:10.1016/S0003-4975(01)03374-4.
3.Kayani B,Sharma A,Sewell MD,et al.A review of the surgical management of extrathoracic solitary fibrous tumors.Am J Clin Oncol 2016;10.doi:10.1097/COC.0000000000000348.
4.Chuang IC,Liao KC,Huang HY,et al.NAB2-STAT6gene fusion and STAT6 immunoexpression in extrathoracic solitary fibrous tumors:the association between fusion variants and locations.Pathol Int 2016;66(5):288-96.doi:10.1111/pin.12408.
5.Usuba W,Sasaki H,Yoshie H,et al.Solitary fibrous tumor of the kidney developing local recurrence.Case Rep Urol 2016;2016:1-8.doi:10.1155/2016/2426874.
6.Cuello J,Brugés R.Malignant solitary fibrous tumor of the kidney:report of the first case managed with interferon.Case Rep Oncol Med 2013;2013:1-6.doi:10.1155/2013/564980.
7.Khater N,Khauli R,Shahait M,et al.Solitary fibrous tumors of the kidneys:presentation,evaluation,and treatment.Urol Int 2013;91(4):373-83.doi:10.1159/000354394.
8.Sasaki H,Kurihara T,Katsuoka Y,et al.Distant metastasis from benign solitary fibrous tumor of the kidney.Case Rep Nephrol Urol 2013;3(1):1-8.doi:10.1159/000346850.
9.Makris A,Tabaza R,Brehmer B,et al.Solitary fibrous tumor of the kidney:a case report.Can J Urol 2009;16(5):4854-6.
10.Kutikov A,Uzzo RG.The R.E.N.A.L.nephrometry score:a comprehensive standardized system for quantitating renal tumor size,location and depth.J Urol 2009;182(3):844-53.doi:10.1016/j.juo.2009.05.035.
11.Ide F,Obara K,Mishima K,et al.Ultrastructural spectrum of solitary fibrous tumor:a unique perivascular tumor with alternative lines of differentiation.Virchows Arch 2005;446(6):646-52.doi:10.1007/s00428-005-1261-z.
12.Gelb AB,Simmons ML,Weidner N.Solitary fibrous tumor involving the renal capsule.Am J Surg Pathol1996;20(10):1288-95.doi:10.1097/00000478-199610000-00016.
13.Park SB,Park YS,Kim JK,et al.Solitary fibrous tumor of the genitourinary tract.AJR Am J Roentgenol 2011;196(2):W132-7.doi:10.2214/AJR.09.3787.
14.Hirano D,Mashiko A,Murata Y,et al.A case of solitary fibrous tumor of the kidney:an immunohistochemical and ultrastructural study with a review of the literature.Med Mol Morphol 2009;42(4):239-44.doi:10.1007/s00795-009-0456-9.
15.MacLennan GT,Cheng L.Solitary fibrous tumor of the kidney.J Urol 2009;181(6):2731-2.doi:10.1016/j.juro.2009.03.006.
16.Wang H,Liao Q,Liao X,et al.A huge malignant solitary fibrous tumor of kidney:case report and review of the literature.Diagn Pathol 2014;9:13.doi:10.1186/1746-1596-9-13.