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comeonyuyu 离线
以下是引用stevenshen在2009-7-18 7:40:00的发言:
Agree for a generic diagnosis of 肉瘤 due to hypercellurity, pleomorphism and atypical mitoses. Peculiar benign looking tubules - is there focal "ovarian type" stroma around the tubules and cysts In such a young patient and it is not typical for sarcomatoid RCC or TCC. Might need to consider two other rare specific entities: 1. mixed epithelial and stromal tumor of kidney with sarcomatoid transformation 2. primary synovial sarcoma of kidney 同意! |
stevenshen 离线
Agree for a generic diagnosis of 肉瘤 due to hypercellurity, pleomorphism and atypical mitoses.
Peculiar benign looking tubules - is there focal "ovarian type" stroma around the tubules and cysts
In such a young patient and it is not typical for sarcomatoid RCC or TCC.
Might need to consider two other rare specific entities:
1. mixed epithelial and stromal tumor of kidney with sarcomatoid transformation
2. primary synovial sarcoma of kidney