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Rare Case of Renal-type Clear Cell Carcinoma of the Prostate and Review of the Literature

机译:罕见的肾脏型透明细胞癌前列腺和审查文献

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Background/Aim: Renal-type clear cell carcinoma (RTCCC) occurring as a primary tumor in an extra-renal location, especially in the prostate, is very rare. In this report, we present a rare case of RTCCC of the prostate and review the current literature on this condition. Case Report: The patient was a 76-year-old man who presented with urinary symptoms. Cystoscopic findings showed tumor-like lesions in the dome, neck, and anterior wall of the urinary bladder. Biopsy revealed clear cell carcinoma (CCC). Transrectal needle biopsy of the prostate revealed prostatic adenocarcinoma with CCC features. Immunohistochemically, tumor cells of the bladder and prostate were compatible with prostatic carcinoma. The whole-body radiologic workup did not reveal any renal or other organ malignancies. Transurethral resection of the prostate and bladder tumor was performed. The patient underwent regular follow-up cystoscopic examination and urine cytology. No recurrence was observed 19 months after the diagnosis. Conclusion: This was a case of RTCCC arising in the prostate. RTCCC of the prostate is extremely rare and shows very similar histological and immunohistochemical features to those of CCC occurring in the kidney. Pathologists should be aware of such an entity whenever they see clear cells in urinary tract malignancies.
机译:背景/目的:作为主要肿瘤发生的肾型透明细胞癌(RTCCC)在额外肾位置,特别是在前列腺,是非常罕见的。在本报告中,我们提出了一个罕见的前列腺RTCCC案例,并审查了目前的文献。案例报告:患者是一名76岁的男子,患有泌尿症状。膀胱镜发现显示圆顶,颈部和膀胱前壁的肿瘤状病变。活检显示透明细胞癌(CCC)。前列腺癌的活检显示出具有CCC特征的前列腺腺癌。免疫组织化学,膀胱和前列腺的肿瘤细胞与前列腺癌相容。全身放射性疗法没有揭示任何肾或其他器官恶性肿瘤。进行过尿囊的前列腺和膀胱肿瘤。患者经常进行常规后续膀胱镜检查和尿液细胞学。诊断后19个月内未经复发。结论:这是前列腺症中产生的RTCCC案例。前列腺的RTCCC非常罕见,并且表现出与肾脏发生的CCC的组织学和免疫组织化学特征非常相似。每当他们看到尿路恶性肿瘤中的细胞,病理学家应该了解这样的实体。

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