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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Primary Squamous Cell Carcinoma of the Renal Pelvis: Unexpected Diagnosis of an Uncommon Malignancy- A Case Report
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Primary Squamous Cell Carcinoma of the Renal Pelvis: Unexpected Diagnosis of an Uncommon Malignancy- A Case Report

机译：肾盂原发性鳞状细胞癌：罕见恶性肿瘤的意外诊断-病例报告。

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Squamous Cell Carcinoma (SCC) of the renal pelvis represents a rare malignancy associated with nephrolithiasis. The aim of thisreport is to describe an unexpected diagnosis of renal pelvis SCC. We report a case of an 82-year-old female who came to ourattention for onset of hematuria and left ?ank pain. A computed tomography scan showed a mass of 8×7 cm involving the middleand upper third of the left kidney associated with hilar lymphadenopathy. Patient underwent radical nephrectomy with para-aorticlymphadenectomy. Histopathological examination of the kidney showed a SCC arising from the renal pelvis, involving the renalparenchyma and perirenal fat, with emboli in the renal vein and lymph node invasion. No postoperative surgical complicationswere recorded and at follow-up no signs of clinical recurrence were found. However, the patient’s clinical condition declinedprogressively until death occurred three months later. In addition to being a very rare entity, this case demonstrates that renal pelvisSCC can also develop in the absence of predisposing risk factors. Moreover, renal pelvis SCC has no specifc clinical presentationand often being diagnosed at an advanced stage.
机译：肾盂鳞状细胞癌（SCC）代表与肾结石相关的罕见恶性肿瘤。本报告的目的是描述肾脏骨盆SCC的意外诊断。我们报告了一例82岁的女性，因血尿发作和左胁痛而引起我们的注意。计算机断层扫描显示，肿块为8×7 cm，累及左肾中部和上部三分之一，伴有肺门淋巴结肿大。患者接受了根治性肾切除术和主动脉旁淋巴结切除术。肾脏的组织病理学检查显示，SCC源自肾盂，累及肾实质和肾周脂肪，肾静脉有栓子和淋巴结浸润。没有手术后并发症的记录，随访时未发现临床复发的迹象。然而，患者的临床状况逐渐下降，直到三个月后死亡。除了是一个非常罕见的实体之外，该病例还表明，在没有易患风险因素的情况下，肾盂SCC也会发生。此外，肾盂SCC没有特定的临床表现，并且常常在晚期被诊断出来。

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