机器人手术治疗腺样囊性癌合并巨大肾转移1例。

IF 2.9 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Yongrui Zhang, Shuxin Li, Yueqiu Zhang, Fulin Wang, Tong Yang, Wei Wei
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引用次数: 0

摘要

腺样囊性癌(Adenoid cystic carcinoma, ACC)是一种罕见的头颈部肿瘤,发病率低,手术治疗后易局部复发和早期转移。这种癌症的常见转移部位是典型的肺、肝、脑和骨,而转移到肾脏是罕见的。本文报告一例上颌窦腺样囊性癌患者在手术后16年发生肾转移。患者34岁,女性,间歇性右下腹痛5个月。16年前,她被诊断为上颌窦ACC,并接受了三次手术治疗和辅助放疗,没有定期随访。患者接受了机器人辅助的单侧肾脏切除术,病理检查证实了腺样囊性癌的肾脏转移。术后腹痛缓解,第5天出院,嘱定期随访。在9个月后的第一次随访中,她报告没有任何不适,并确认恢复顺利。这个病例强调了腺样囊性癌晚期复发的可能性,强调了长期随访和警惕监测的重要性,即使在成功的初始治疗之后。持续监测和改进治疗策略对于管理这一具有挑战性的恶性肿瘤至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case report of adenoid cystic carcinoma combined with giant renal metastasis treated with robotic surgery.

Adenoid cystic carcinoma (ACC) is a rare head and neck tumor with low incidence, characterized by local recurrence and early metastasis following surgical treatment. The common sites of metastasis for this cancer are typically the lungs, liver, brain, and bone, while metastasis to the kidneys is rare. This article reports a case of renal metastasis in a patient with adenoid cystic carcinoma of the maxillary sinus, occurring 16 years after surgery. The patient was a 34-year-old female with intermittent right lower abdominal pain for five months. She was diagnosed with maxillary sinus ACC 16 years ago and was treated surgically with adjuvant radiotherapy three times without regular follow-up. The patient underwent a robotic-assisted unilateral nephrectomy, and pathological examination confirmed the diagnosis of renal metastasis from adenoid cystic carcinoma. Postoperatively, the patient's abdominal pain resolved, and she was discharged on the fifth day with instructions for regular follow-up. During her first follow-up nine months later, she reported no discomfort and confirmed a smooth recovery. This case highlights the potential for late recurrence of adenoid cystic carcinoma, underscoring the importance of long-term follow-up and vigilant monitoring, even after successful initial treatment. Continued surveillance and refinement of treatment strategies are crucial for managing this challenging malignancy.

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来源期刊
Discover. Oncology
Discover. Oncology Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.40
自引率
9.10%
发文量
122
审稿时长
5 weeks
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