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콩팥의 사슴뿔 결석에 동반된 거대세포 종양 유사 증식증 - 1예 보고 -

Giant Cell Tumor-like Proliferation Associated with Renal Staghorn Calculi -A Case Report-

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초록

A 62-year-old man with left flank pain and hematuria was shown to have a staghorn stone in left renal pelvis. Grossly, renal pelvis and calyces were markedly dilated with cystic and hemorrhagic degeneration and renal parenchyma was atrophied. A tumor-like mass was located in a hemorrhagic cyst of the renal upper pole. This mass consisted of giant cells and stromal cells mimicking a giant cell tumor of bone. This giant cell tumor-like proliferation may represent a response to hemorrhage into a cystic cavity. Recognition of this finding is important to avoid the over-diagnosis of neoplastic lesions.

Abstract

A 62-year-old man with left flank pain and hematuria was shown to have a staghorn stone in left renal pelvis. Grossly, renal pelvis and calyces were markedly dilated with cystic and hemorrhagic degeneration and renal parenchyma was atrophied. A tumor-like mass was located in a hemorrhagic cyst of the renal upper pole. This mass consisted of giant cells and stromal cells mimicking a giant cell tumor of bone. This giant cell tumor-like proliferation may represent a response to hemorrhage into a cystic cavity. Recognition of this finding is important to avoid the over-diagnosis of neoplastic lesions.

참고문헌 (7)

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  3. Mitwalli AH, "Sarcoidosis with partial reversibility of renal failure: two case reports with review of literature", Saudi J Kidney Dis Transpl, 9, pp.451~456 (1998)
  4. Piscioli I, "Renal cell carcinoma with sarcomatoid features and peritumoral sarcoid-like granulomatous reaction: report of a case and review of the literature", Int J Surg Pathol, 16, pp.345~348 (2008)
  5. Acikalin MF, "Sarcomatoid carcinoma of the renal pelvis with giant cell tumor-like features: case report with immunohistochemical findings", Int J Urol, 12, pp.199~203 (2005)
  6. Kanthan R, "Primary de novo malignant giant cell tumor of kidney: a case report", BMC Urol, 4, pp.7~ (2004)
  7. Haque AU, "Giant cell tumor of bone: a neoplasm or a reactive condition?", Int J Clin Exp Pathol, 1, pp.489~501 (2008)

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