摘要
目的本文探讨肾肉瘤样癌(SRCC)的临床特点、诊断方法、治疗方案及预后。方法通过分析本院收治的1例肾肉瘤样癌伴升结肠转移患者的临床资料,结合相关文献进行复习,对SRCC的发病原因、临床表现、诊断方法及治疗方案进行总结。本病临床表现通常为腰痛、血尿、腹部包块,CT、MR等影像学检查可辅助诊断,但确诊仍需依赖病理活检及免疫组化检查。结果肾肉瘤样癌是一种临床罕见、恶性程度高、易于转移的肾细胞癌类型。根治手术是SRCC首选治疗方案,后期配合综合治疗以延长患者生存率,但就目前SRCC相关报告,其预后仍不容乐观。结论临床上应加强对SRCC的认识,提高早期诊断率,以改善患者的预后。
Objective This paper discusses the clinical characteristics,diagnostic methods,treatment options and prognosis of renal sarcomatoid carcinoma(SRCC).Methods It is to analyzing the clinical data of a patient with renal sarcomatoid carcinoma with metastasis to the ascending colon admitted in our hospital,and reviewing the relevant literature.The clinical manifestations of this disease are usually low back pain,hematuria,and abdominal mass.Imaging examinations such as CT and MR can assist in the diagnosis,but the definitive diagnosis still depends on pathological biopsy and immunohistochemical examination.Results Renal sarcomatoid carcinoma is a type of renal cell carcinoma that is clinically rare,highly malignant and easily metastasized.Radical surgery is the preferred treatment option for SRCC,and later on,comprehensive treatment is used to prolong the survival rate of patients,but the prognosis of SRCC is still not optimistic according to current reports.Conclusion Clinical awareness of SRCC should be strengthened and the early diagnosis rate should be increased to improve the prognosis of patients.
作者
李慧君
母友友
张烽
刘云路
吴伟杰
申军
LI Hui-jun;MU You-you;ZHANG Feng;LIU Yun-lu;WU Wei-jie;SHEN Jun(The First Clinical Medical College,Guizhou University of Tranditional Chinese Medicine,Guiyang 550005,Guizhou Province,China;Department of Urology,The First Affiliated Hospital of Guizhou University of Tranditional Chinese Medicine,Guiyang 550001,Guizhou Province,China)
出处
《罕少疾病杂志》
2025年第2期12-14,共3页
Journal of Rare and Uncommon Diseases
关键词
肾肉瘤样癌
病例报告
文献复习
Sarcomatoid Carcinoma of Kidney
Case Report
Literature Review
作者简介
第一作者:李慧君,女,硕士研究生在读,主要研究方向:中西医结合治疗前列腺疾病。E-mail:1947750582@qq.com;通讯作者:申军,男,副主任医师,副教授,主要研究方向:中西医结合治疗前列腺疾病。E-mail:625545110@qq.com。
