| 肾脏原发性恶性纤维组织细胞瘤3例报告并文献复习 |
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| 引用本文： | 程树林,余晓东,朱平宇,廖波,李建勇. 肾脏原发性恶性纤维组织细胞瘤3例报告并文献复习[J]. 四川医学, 2012, 33(2): 210-212 |
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| 作者姓名： | 程树林 余晓东 朱平宇 廖波 李建勇 |
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| 作者单位： | 川北医学院附属医院泌尿外科,四川南充,637000 |
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| 摘 要： | 目的探讨肾脏原发性恶性纤维组织细胞瘤(MFH)的临床特点。方法总结我院2002～2010年诊治的3例肾脏MFH患者的临床资料,并结合文献进行讨论。3例患者以血尿、腰痛、消瘦、发热就诊,均行手术治疗,术后病检确诊为肾脏MFH。结果 2例患者术后随访3个月、9个月死于肺转移,另1例患者随访6个月未见异常。结论肾脏MFH罕见,恶性程度高,预后差。该病术前诊断困难,确诊主要依靠病理和免疫组化检查。治疗以早期手术为主,辅助治疗还值得进一步探讨。
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| 关 键 词： | 肾肿瘤 恶性纤维组织细胞瘤 |
Primary renal malignant fibrous histiocytoma: report of 3 cases and literature review |
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| Affiliation: | CHENG Shu-lin,YU Xiao-dong,ZHU Ping-yu,et al.The Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,China |
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| Abstract: | Objective To investigate the clinical manifestation of renal primary malignant fibrous histiocytoma(MFH).Methods 3 cases of renal MFH in our hospital were analyzed and summarized.Hematuria,emaciation,palpable mass were the common symptoms of renal MFH.Imaging features were not typical compared with other renal carcinomas.Immunohistiochemical test was essential for the diagnosis of renal MFH.All cases underwent surgical excision.Results Two patients were diagnosed of lung metastasis 3 and 9 months after the operation respectively.Conclusions Renal MFS is a rare pathological entity.it is highly agreessively with poor prognosis.surgery Diagnosis depends on pathology and Immunohistochemical methods.Early radical surgery is by now the optimal treatment. |
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| Keywords: | kidney neoplasm fibrous histiocytoma |
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