Distant metastasis from benign solitary fibrous tumor of the kidney.

Case reports in nephrology and urology Pub Date : 2013-01-01 Epub Date: 2013-01-24 DOI:10.1159/000346850
Hideo Sasaki, Tsuyoshi Kurihara, Yuichi Katsuoka, Toru Nakano, Maki Yoshioka, Satetsu Miyano, Yuichi Sato, Iwao Uejima, Masahiro Hoshikawa, Masayuki Takagi, Tatsuya Chikaraishi
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引用次数: 19

Abstract

Solitary fibrous tumor (SFT) rarely occurs in the kidneys, and only one reported case of renal SFT has shown distant metastasis. We report the second case of renal SFT exhibiting distant metastasis. A 48-year-old man was referred to our hospital because of a right renal mass. An abdominal CT scan detected a large renal tumor, which was suspected to be a renal cell carcinoma. Right radical nephrectomy was performed, and the tumor was found to measure 28 × 18 × 10 cm. The pathological diagnosis was benign solitary fibrous tumor of the kidney. Eight years after the operation, lung and liver metastases developed. Pulmonary segmentectomy and partial hepatectomy were performed. The pathological diagnoses of these resected tissue specimens were compatible with benign SFT.

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肾脏良性孤立性纤维性肿瘤远处转移。
孤立性纤维性肿瘤(SFT)很少发生在肾脏,只有一例报道的肾脏SFT有远处转移。我们报告第二例肾脏SFT表现出远处转移。一名48岁男子因右肾肿块转介至我院。腹部CT扫描发现一大肾肿瘤,怀疑为肾细胞癌。行右侧根治性肾切除术,肿瘤大小为28 × 18 × 10 cm。病理诊断为肾脏良性孤立性纤维性肿瘤。手术后8年,肺部和肝脏出现转移。行肺段切除术和部分肝切除术。这些切除组织标本的病理诊断与良性SFT相符。
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