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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Composite hemangioendothelioma arising from the kidney: case report with review of the literature</title><author><name sortKey="Zhang, Jin" sort="Zhang, Jin" uniqKey="Zhang J" first="Jin" last="Zhang">Jin Zhang</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Wu, Bo" sort="Wu, Bo" uniqKey="Wu B" first="Bo" last="Wu">Bo Wu</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Zhou, Gui Qian" sort="Zhou, Gui Qian" uniqKey="Zhou G" first="Gui-Qian" last="Zhou">Gui-Qian Zhou</name><affiliation><nlm:aff id="au2"><institution>Department of Pathology, the second people’s hospital of Chizhou</institution><addr-line>Chizhou, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Zhang, Ru Song" sort="Zhang, Ru Song" uniqKey="Zhang R" first="Ru-Song" last="Zhang">Ru-Song Zhang</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Wei, Xue" sort="Wei, Xue" uniqKey="Wei X" first="Xue" last="Wei">Xue Wei</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Yu, Bo" sort="Yu, Bo" uniqKey="Yu B" first="Bo" last="Yu">Bo Yu</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Lu, Zhen Feng" sort="Lu, Zhen Feng" uniqKey="Lu Z" first="Zhen-Feng" last="Lu">Zhen-Feng Lu</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Ma, Heng Hui" sort="Ma, Heng Hui" uniqKey="Ma H" first="Heng-Hui" last="Ma">Heng-Hui Ma</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Shi, Qun Li" sort="Shi, Qun Li" uniqKey="Shi Q" first="Qun-Li" last="Shi">Qun-Li Shi</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Zhou, Xiao Jun" sort="Zhou, Xiao Jun" uniqKey="Zhou X" first="Xiao-Jun" last="Zhou">Xiao-Jun Zhou</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24040461</idno><idno type="pmc">3759503</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3759503</idno><idno type="RBID">PMC:3759503</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002034</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002034</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Composite hemangioendothelioma arising from the kidney: case report with review of the literature</title><author><name sortKey="Zhang, Jin" sort="Zhang, Jin" uniqKey="Zhang J" first="Jin" last="Zhang">Jin Zhang</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Wu, Bo" sort="Wu, Bo" uniqKey="Wu B" first="Bo" last="Wu">Bo Wu</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Zhou, Gui Qian" sort="Zhou, Gui Qian" uniqKey="Zhou G" first="Gui-Qian" last="Zhou">Gui-Qian Zhou</name><affiliation><nlm:aff id="au2"><institution>Department of Pathology, the second people’s hospital of Chizhou</institution><addr-line>Chizhou, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Zhang, Ru Song" sort="Zhang, Ru Song" uniqKey="Zhang R" first="Ru-Song" last="Zhang">Ru-Song Zhang</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Wei, Xue" sort="Wei, Xue" uniqKey="Wei X" first="Xue" last="Wei">Xue Wei</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Yu, Bo" sort="Yu, Bo" uniqKey="Yu B" first="Bo" last="Yu">Bo Yu</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Lu, Zhen Feng" sort="Lu, Zhen Feng" uniqKey="Lu Z" first="Zhen-Feng" last="Lu">Zhen-Feng Lu</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Ma, Heng Hui" sort="Ma, Heng Hui" uniqKey="Ma H" first="Heng-Hui" last="Ma">Heng-Hui Ma</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Shi, Qun Li" sort="Shi, Qun Li" uniqKey="Shi Q" first="Qun-Li" last="Shi">Qun-Li Shi</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author><author><name sortKey="Zhou, Xiao Jun" sort="Zhou, Xiao Jun" uniqKey="Zhou X" first="Xiao-Jun" last="Zhou">Xiao-Jun Zhou</name><affiliation><nlm:aff id="au1"><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></nlm:aff></affiliation></author></analytic><series><title level="j">International Journal of Clinical and Experimental Pathology</title><idno type="eISSN">1936-2625</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Reported herein is a medical curiosities vascular tumor primary arising from the kidney and exhibiting unique histopathological features. A 32-year-old woman underwent a total nephrectomy of right kidney because of a mass localized in the inferior pole. Distinct from other vascular lesions, on histology the tumor had a peculiar composite pattern, consisting of benign and malignant vascular components, which were haphazardly intermixed without any definite margins. The malignant component was composed of epithelioid hemangioendothelioma (45%) and angiosarcoma (50%) with moderate differentiation. Immunohistochemically, the oval to cuboidal to spindle tumor cells expressed only endothelial markers (CD31, CD34 and factor VIII-related antigen). And the angiosarcomatous component was characterized by the presence of a greater proliferation index Ki-67. Unlike other epithelial tumors, smooth muscle actin (SMA), cytokeratin, EMA and S-100 were all negative in the epithelioid tumor cells. These findings led to the diagnosis of a low-grade vascular neoplasm with morphological features consistent with so-called composite hemangioendothelioma (CHE). At 11 month follow up the patient was alive, without evidence of tumor recurrence. CHE is an extremely rare vascular neoplasm, with borderline malignant potential, which mostly occurs in distal extremity of the limbs at the cutaneous level and, only 30 cases have been previously described until now. To our knowledge, this is the first report of CHE arising from the kidney and widens the spectrum of primary vascular tumors arising in the kidney.</p></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Clin Exp Pathol</journal-id><journal-id journal-id-type="iso-abbrev">Int J Clin Exp Pathol</journal-id><journal-id journal-id-type="publisher-id">ijcep</journal-id><journal-title-group><journal-title>International Journal of Clinical and Experimental Pathology</journal-title></journal-title-group><issn pub-type="epub">1936-2625</issn><publisher><publisher-name>e-Century Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24040461</article-id><article-id pub-id-type="pmc">3759503</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Composite hemangioendothelioma arising from the kidney: case report with review of the literature</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Jin</given-names></name><xref ref-type="aff" rid="au1">1</xref><xref ref-type="author-notes" rid="fn1">*</xref></contrib><contrib contrib-type="author"><name><surname>Wu</surname><given-names>Bo</given-names></name><xref ref-type="aff" rid="au1">1</xref><xref ref-type="author-notes" rid="fn1">*</xref></contrib><contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Gui-Qian</given-names></name><xref ref-type="aff" rid="au2">2</xref></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Ru-Song</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Wei</surname><given-names>Xue</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Yu</surname><given-names>Bo</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Lu</surname><given-names>Zhen-Feng</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ma</surname><given-names>Heng-Hui</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Shi</surname><given-names>Qun-Li</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Xiao-Jun</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><aff id="au1"><label>1</label><institution>Department of Pathology, Jinling Hospital, Nanjing University School of Medicine</institution><addr-line>Nanjing, China</addr-line></aff><aff id="au2"><label>2</label><institution>Department of Pathology, the second people’s hospital of Chizhou</institution><addr-line>Chizhou, China</addr-line></aff></contrib-group><author-notes><corresp><bold>Address correspondence to:</bold> Dr. Jin Zhang or Dr. Xiao-Jun Zhou, Department of Pathology, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, P.R. China. E-mail: <email>zhangjin20040311@163.com</email> (JZ); <email>zhouxj1@126.com</email> (XJZ)</corresp><fn id="fn1"><label>*</label><p>Equal contributors.</p></fn></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>15</day><month>8</month><year>2013</year></pub-date><volume>6</volume><issue>9</issue><fpage>1935</fpage><lpage>1941</lpage><history><date date-type="received"><day>26</day><month>6</month><year>2013</year></date><date date-type="accepted"><day>27</day><month>7</month><year>2013</year></date></history><permissions><copyright-statement>IJCEP Copyright © 2013</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><p>Reported herein is a medical curiosities vascular tumor primary arising from the kidney and exhibiting unique histopathological features. A 32-year-old woman underwent a total nephrectomy of right kidney because of a mass localized in the inferior pole. Distinct from other vascular lesions, on histology the tumor had a peculiar composite pattern, consisting of benign and malignant vascular components, which were haphazardly intermixed without any definite margins. The malignant component was composed of epithelioid hemangioendothelioma (45%) and angiosarcoma (50%) with moderate differentiation. Immunohistochemically, the oval to cuboidal to spindle tumor cells expressed only endothelial markers (CD31, CD34 and factor VIII-related antigen). And the angiosarcomatous component was characterized by the presence of a greater proliferation index Ki-67. Unlike other epithelial tumors, smooth muscle actin (SMA), cytokeratin, EMA and S-100 were all negative in the epithelioid tumor cells. These findings led to the diagnosis of a low-grade vascular neoplasm with morphological features consistent with so-called composite hemangioendothelioma (CHE). At 11 month follow up the patient was alive, without evidence of tumor recurrence. CHE is an extremely rare vascular neoplasm, with borderline malignant potential, which mostly occurs in distal extremity of the limbs at the cutaneous level and, only 30 cases have been previously described until now. To our knowledge, this is the first report of CHE arising from the kidney and widens the spectrum of primary vascular tumors arising in the kidney.</p></abstract><kwd-group><kwd>Composite hemangioendothelioma</kwd><kwd>hemangioendothelioma</kwd><kwd>rare tumors</kwd><kwd>kidne</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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