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原发性肾盂黏液腺癌混合印戒细胞癌1例报告

Primary mucinous adenocarcinoma of the renal pelvis mixed with signet-ring cell carcinoma:a case report

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肾盂黏液腺癌临床罕见.本文报道1例原发性肾盂黏液腺癌混合印戒细胞癌患者,因右侧腰痛人院,完善检查诊断为右肾结石伴积水和感染、右肾脓肿、右肾无功能.先后两次行右肾穿刺造瘘术,引流出黄绿色脓性液体,后行机器人辅助腹腔镜根治性右肾切除术.术后病理诊断为右侧肾盂黏液腺癌(黏液腺癌混合印戒细胞癌).术后11个月应用亚叶酸钠+奥沙利铂+5-氟尿嘧啶化疗12个周期,影像学检查无复发转移征象.
Mucinous adenocarcinoma of the renal pelvis is rare in clinical practice.This article reported a case of primary renal pelvis mucinous adenocarcinoma mixed with signet ring cell carcinoma.The patient was admitted to hospital due to right low back pain,and was diagnosed with right kidney stones accompanied by hydrops and infection,right kidney abscess,and nonfunctional right kidney after complete examination.Right renal puncture drainage was performed twice,followed by laparoscopic robot assisted right neprectomy.The postoperative pathological diagnosis was right renal pelvis primary mucinous adenocarcinoma(mixed with signet-ring cell carcinoma).Eleven months after the operation,regular"sodium folinate+oxaliplatin+5-fluorouracil"chemotherapy was performed for 12 courses,and imaging showed no signs of recurrence or metastasis.

Mucinous adenocarcinoma of renal pelvisSignet-ring cell carcinomaPathologyChemotherapyRobotic surgery

孙梦伟、张庆玲、吴岩橙、王耀辉、徐彦、韩杰

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南京中医药大学附属医院 江苏省中医院泌尿外科,南京 210029

南京中医药大学附属医院 江苏省中医院病理科,南京 210029

肾盂黏液腺癌 印戒细胞癌 病理 化疗 机器人手术

江苏省基础研究计划自然科学基金

BK20230743

2024

中华泌尿外科杂志
中华医学会

中华泌尿外科杂志

CSTPCD北大核心
影响因子:1.628
ISSN:1000-6702
年,卷(期):2024.45(8)