Histiocitoma fibroso maligno retroperitoneal. A propósito de un caso / Retroperitoneal malignant fibrous histiocytoma: case report
Arch. esp. urol. (Ed. impr.)
; 63(6): 477-479, jul.-ago. 2010. ilus
Article
in Spanish
| IBECS
| ID: ibc-87814
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
OBJETIVO:
Presentar un caso de una tumoración retroperitoneal de gran tamaño con diagnóstico patológico de Histiocitoma fibroso maligno y revisar aspectos diagnósticos y terapéuticos de la literatura actual.MÉTODO:
Presentamos el caso de un hombre de 75 años de edad que durante un ingreso en el servicio de digestivo por clínica de astenia de meses de evolución y problemas gastrointestinales se realiza CT abdomino-pélvico, identificando gran masa de 20 x 22 x 12 cm que parece depender del riñón izquierdo junto a aneurisma de aorta abdominal de 8 cm de diámetro.RESULTADOS:
Se somete al paciente a intervención quirúrgica donde se realiza Nefrectomía radical izquierda más resección radical de masa retroperitoneal, que histológicamente corresponde a un Histiocitoma fibroso maligno, tipo estoriforme-pleomórfico con focos de degeneración hialina (Estadio pT2b).CONCLUSIONES:
Los sarcomas son neoplasias infrecuentes. Pueden adoptar una gran variedad de patrones morfológicos y distintos grados de diferenciación. El tratamiento quirúrgico continúa siendo la única terapia con posibilidades curativas. El tratamiento adyuvante radioterápico y/o quimioterápico es cuestionado (AU)ABSTRACT
OBJECTIVE:
We present the case of a big retroperitoneal tumor that received the pathologic diagnosis of malignant fibrous histiocytoma. We also review the diagnostic and therapeutic features of this disease in the current literature.METHODS:
We present the case of a 75-year-old male who was admitted to the Gastrointestinal Disease Department with asthenia of several months of evolution and gastrointestinal problems. Abdominopelvic CT scan revealed a big mass of 20 x 22 x 12 cm, which seems to depend from the left kidney, together with an 8 cm diameter abdominal aortic aneurysm.RESULTS:
The patient underwent surgery and left radical nephrectomy together with radical resection of the retroperitoneal mass were performed. Pathology reportes malignant fibrous histiocytoma of the storiform-pleomorphic type, with hyaline degeneration foci (stadium pT2B).CONCLUSIONS:
Sarcomas are rare neoplasias. They can adopt several different morphologic patterns, as well as many differentiation degrees. The surgical treatment is still the only therapy with healing possibilities. Adjuvant treatments through radiotherapy and/or chemotherapy are brought into question (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Retroperitoneal Neoplasms
/
Histiocytoma, Malignant Fibrous
Type of study:
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
Spanish
Journal:
Arch. esp. urol. (Ed. impr.)
Year:
2010
Document type:
Article
Institution/Affiliation country:
Hospital Clínico Universitario de Salamanca/España