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山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (7): 79-83.

• 临床医学 • 上一篇    下一篇

Xp11.2易位相关性肾细胞癌的临床特点

王昌1,李丽2,董彩莉3,刘承1,王坤1,刘海南1,范医东1   

  1. 山东大学齐鲁医院 1.泌尿外科; 2.病理科; 3.手术室, 济南 250012
  • 收稿日期:2013-02-26 出版日期:2013-07-10 发布日期:2013-07-10
  • 通讯作者: 范医东, E-mail:fanyd@sdu.edu.cn
  • 基金资助:

    国家自然科学基金(81272814)

Clinical features of renal cell carcinoma associated with Xp11.2 translocation

WANG Chang1, LI Li2, DONG Cai-li3, LIU Cheng1, WANG Kun1, LIU Hai-nan1, FAN Yi-dong1   

  1. 1. Department of Urology;  2. Department of Pathology; 3. Operation Room,
    Qilu Hospital of Shandong University, Jinan 250012, China
  • Received:2013-02-26 Online:2013-07-10 Published:2013-07-10

摘要:

目的   总结Xp11.2易位相关性肾细胞癌的临床特点,探讨Xp11.2易位相关性肾细胞癌的诊断治疗思路。方法   收集山东大学齐鲁医院泌尿外科2011~2012年3例Xp11.2易位相关性肾细胞癌患者的临床及随访资料,对术后标本处理后进行分析总结,并结合文献资料复习。结果   3例患者中,2例因无痛性肉眼血尿检查发现,1例因健康查体发现。3例患者CT扫描结果示肾脏肿块平均4cm×5cm,肿块内均可见点状钙化,增强扫描后呈不均匀强化。免疫组织化学和RTPCR均证实为Xp11.2易位相关性肾细胞癌。结论   Xp11.2易位相关性肾细胞癌的有效治疗方案仍在研究探索中。

关键词: 肾肿瘤;Xp11.2 易位;TFE3基因;融合蛋白

Abstract:

Objective   To summarize the clinical features of renal cell carcinoma associated with Xp11.2 translocation, and to explore the approach of its diagnosis and treatment. Methods   The clinical and follow-up data of three cases of renal cell carcinoma associated with Xp11.2 translocations were collected in the department of urology, Qilu Hospital during 2011 and 2012.The surgical specimens were analyzed and the relevant literature were reviewed. Results   Two of the three cases were found after painless gross hematuria and the other was found by physical examination. The average size of all the three renal tumors was 4cm×5cm, calcification spots were found in CT scan, and the tumors were strengthened unevenly by contrast mediums. The genetic feature of all three cases was confirmed by immuneohistochemistry and RT-PCR, which belonged to renal cell carcinoma associated with Xp11.2 translocation. Conclusion   The effective treatment of renal cell carcinoma associated with Xp11.2 translocation is still in the study.

Key words: Renal neoplasms; Xp11.2 translocation; Gene of TFE3; Fusion protein

中图分类号: 

  • R692.9
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