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Cystic low-grade collecting duct renal carcinoma with liver compression—A challenging diagnosis and therapy: A case report

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World Journal of Gastrointestinal Surgery 2020年第6期12卷 298-306页

作者： Zsolt Zoltan Fulop Simona Gurzu Ioan Jung Patricia Simu Laura Banias Emoke Fulop Emoke Dragus Tivadar Jr Bara Department of Surgery George Emil Palade University of MedicinePharmacyScience and TechnologyTargu Mures 540139Romania Department of Pathology George Emil Palade University of MedicinePharmacyScience and TechnologyTargu Mures 540139Romania Department of Pathology Clinical County Emergency HospitalTargu Mures 540067Romania Department of Radiology George Emil Palade University of MedicinePharmacyScience and TechnologyTargu Mures 540139Romania Department of Urology Clinical County HospitalTargu Mures 540167Romania

BACKGROUND A collecting duct carcinoma is a very rare, malignant renal epithelial *** metastases are present in one third of cases at the time of diagnosis. It is known to have a poor *** SUMMARY A 42-year-old male was sent to our surgery clinic for removal of a 119.2 mm ×108.3 mm encapsulated cystic mass, which was localized in the 8th segment of the right liver lobe. The lesion was first identified on ultrasonography. A computed tomography scan confirmed the presence of a Bosniak type Ⅲ cystic lesion,which affected the liver and convexity of the right kidney. Surgical intervention involved a right nephrectomy, with removal of the cystic mass. The patient was mobilized on the first postoperative day and was discharged after 7 d. The histological and immunohistochemical examination revealed a low-grade collecting duct renal carcinoma, which is a rare variant of papillary carcinoma,with low malignant potential. The patient did not receive chemotherapy and after 21 mo of follow-up, a radiological examination and laboratory analyses showed normal aspects. No relapse or other complications were *** To manage renal tumors properly, a correct histopathological diagnosis is crucial,as is early diagnosis and correct surgical treatment.

关键词： collecting duct renal carcinoma Hydatid cyst Immunohistochemistry Case report Kidney Therapy

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