本文選題：腎盂腫瘤　切入點：腺瘤　出處：《臨床與實驗病理學雜志》2016年05期 　論文類型：期刊論文

【摘要】：目的探討腎盂絨毛狀腺瘤的臨床病理學特征、組織學發(fā)生、診斷、鑒別診斷及預后。方法回顧性分析1例腎盂絨毛狀腺瘤,并復習相關文獻。結果患者女性,58歲,因卵巢腫瘤復發(fā)多次行手術治療,此次因腰部疼痛、腹部CT示左腎無功能,遂行腎切除術。患者術后死于放射治療并發(fā)癥。眼觀:腎盂移行上皮完全腸化,呈乳頭狀生長,腫瘤細胞異型性不明顯。免疫表型:瘤細胞彌漫表達CK7、CEA和EMA,部分表達Villin和CDX2;不表達CK20和PAX-8;Ki-67增殖指數(shù)約5%。結論原發(fā)于腎盂的絨毛狀腺瘤罕見,確診主要依靠病理學形態(tài)及免疫表型。單純的絨毛狀腺瘤預后較好,而該例患者因卵巢腫瘤復發(fā)導致預后差。
[Abstract]:Objective to investigate the clinicopathological features, histogenesis, diagnosis, differential diagnosis and prognosis of renal pelvis villous adenoma. Because of the recurrence of ovarian tumor, many times surgery was performed. Because of the pain in the waist, abdominal CT showed that the left kidney had no function, and the patient underwent nephrectomy. The patient died of complications of radiotherapy after operation. Eye view: the transitional epithelium of the renal pelvis became completely intestinal and grew papillary. Immunophenotype: CK7CEA and EMA were expressed in the tumor cells, and Villin and CDX2 were partially expressed in the tumor cells. The proliferative index of CK20 and PAX-8KI-67 was about 5.Conclusion the primary villous adenoma in renal pelvis is rare. The prognosis of simple villous adenoma was good, but the prognosis of this patient was poor due to the recurrence of ovarian tumor.
【作者單位】： 南京大學醫(yī)學院附屬鼓樓醫(yī)院病理科;江蘇泗洪分金亭醫(yī)院兒科;
【分類號】：R737.11

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1 孫景洲,孫曉紅;膀胱絨毛狀腺瘤1例[J];診斷病理學雜志;2002年03期

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本文編號：1559229