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原发腹膜后的间质瘤误诊为肾癌1例报告并文献复习
引用本文:张越,管振锋,李磊,贺大林. 原发腹膜后的间质瘤误诊为肾癌1例报告并文献复习[J]. 现代泌尿外科杂志, 2010, 15(3): 173-176
作者姓名:张越  管振锋  李磊  贺大林
作者单位:西安交通大学医学院第一附属医院泌尿外科,陕西西安,710061
摘    要:目的 提高腹膜后间质瘤的认识,减少临床误诊.方法 报道1例误诊为肾肿瘤的腹膜后间质瘤,并结合文献讨论其临床特征、发病机制以及诊断治疗.结果 免疫组织化学和病理学结果展现出间质瘤的固有特征:CD117(+),CD34(+)·SMA(-),DES(-),S-100(-).结论 胃肠道外的问质瘤很少见,其临床影像学特点不易与临近部位的脏器的一般肿瘤区分,临床上为避免误诊应重视其免疫组织化学和病理学特征.

关 键 词:胃肠道间质瘤  肾肿瘤  误诊

Primary garstrointesinal stromal tumor located in retroperitoneum misdiagnosed as renal cell carcinoma:a case report and literature review
ZHANG Yue,GUAN Zhen-feng,LI Lei,HE Da-lin. Primary garstrointesinal stromal tumor located in retroperitoneum misdiagnosed as renal cell carcinoma:a case report and literature review[J]. Journal of MOdern Urology, 2010, 15(3): 173-176
Authors:ZHANG Yue  GUAN Zhen-feng  LI Lei  HE Da-lin
Affiliation:(Department of Urology, the First Affiliated Hospital, Medical School of Xi'an Jiaotong University, Xi'an 710061 ,China)
Abstract:Objective To improve the understanding of extrar gastointestinal stormal thmor(EGIST) and reduce clinical misdiagnosis. Methods We elaborated a case of EGIST, which was misdiagnosed as renal carcinoma,and discussed its clinical manifestation,diagnosis and treatment. Results Immunohistochemistry and pathology demonstrated the characteristics of EGIST: CD117 (+), CD34 (+),SMA(-), DES(-),S-100(-).Conclusion EGIST is rare. The clinical imaging features are not easy to distinct it from the general tumor of gastrointestinal tract. In order to avoid misdiagnosis,we should pay more attention to immunohistochemical and pathological characteristics
Keywords:extragastrointestinal stromal tumor  renal tumor  misdiagnosis
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