重庆医学2017，Vol.46Issue(18)：2500-2502,3.DOI:10.3969/j.issn.1671-8348.2017.18.018
肾恶性孤立性纤维肿瘤1例并文献复习
Renal malignant solitary fibrous tumor: 1 case report and literature review
摘要
Abstract
Objective To investigate the clinicalmanifestations,imaging features,diagnosis and differential diagnosis,treatment and prognosis of renal malignant solitary fibrous tumor(SFT).Methods The clinical data in 1 case of rare renal malignant SFT were retrospectively analyzed.Referring to related literatures,the histological origin,pathological features,differential diagnosis,treatment and follow-up of renal malignant SFT were analyzed.Results The patient was preoperatively diagnosed as right renal clear cell carcinoma.Postoperative pathological examination diagnosed as low grade malignant SFT of right kidney.And immunohistochemistry indicated CD34+,BCL-2 +,CD68+,CD99+,vimentin,Ki-67 5％ +,SMA focal weakly positive.No recurrence or metastasis occurred after 4-month follow-up period.Conclusion Malignant SFT of the kidney is very rare,its diagnosis and differential diagnosis depend on postoperative pathological and immunohistochemical examination.Radical nephrectomy is the main option for malignant SFT of the kidney with good prognosis.关键词
孤立性纤维肿瘤/肾/间叶细胞肿瘤Key words
solitary fibrous tumor/kidney/mesenchymal neoplasms分类
医药卫生引用本文复制引用
肖茂林,王德林,吴小侯,陈在贤,高飞,杨磊,翁红庆,蒋立..肾恶性孤立性纤维肿瘤1例并文献复习[J].重庆医学,2017,46(18):2500-2502,3.基金项目
重庆市卫生与计划生育委员会适宜技术推广项目(2015jstg001) （2015jstg001）
重庆市科学技术委员会科技攻关项目(cstc2012gg-yyjsl0043). （cstc2012gg-yyjsl0043）
