Cystic leiomyosarcoma of the kidney: An unusual clinical presentation

被引：11

作者：

Dominici, A ^{[1
]}

Mondaini, N ^{[1
]}

Nesi, G ^{[1
]}

Travaglini, F ^{[1
]}

Di Cello, V ^{[1
]}

Rizzo, M ^{[1
]}

机构：

[1] Univ Florence, Dept Urol, Florence, Italy

来源：

UROLOGIA INTERNATIONALIS | 2000年 / 65卷 / 04期

关键词：

primary renal neoplasms; sarcomas; leiomyosarcomas;

D O I：

10.1159/000064886

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Primary sarcomas of the kidney are rare, accounting for 1-3% of all renal malignancies. We describe an unusual case of renal leiomyosarcoma in a 41-year-old white woman who presented with a large smooth mass, which was mobile to the overlying structures and which occupied the right hypochondria and flank. Radical nephrectomy was carried out and the patient is well, without symptoms of relapse, 1 year after surgery. Leiomyosarcomas of the kidney have an aggressive and rapidly progressive natural history, with 5-year survival rates of 29-36%. Size <5 cm, low histological grade, absence of lymph node metastases and radical surgical treatment are all associated with a better prognosis. Irradiation and chemotherapy do not appear to after the clinical course. Copyright (C) 2000 S. Karger AG, Basel.

引用

页码：229 / 231

页数：3