Authors review the case history and follow-up of a rare malignant fibrous histiocytoma patient, based on the relevant literary data. The tumour filled the retroperitoneum on the right side, in front of the right kidney. Intravenous urography and computer tomography revealed a 10 x 15 cm sized mass, suspect of being a kidney tumour. Upon surgery, the tumour was found to be a retroperitoneal malignant fibrous histiocytoma. In connection with the case, a brief review is given of the storiform type of malignant fibrous histiocytoma, regarding its aetiological, clinical and pathological aspects, the difficulties in diagnosis, as well as the therapeutic possibilities. Authors regard their case worthy of publication because of the retroperitoneal location and significant size of the tumour, and because of the unproven diagnosis prior to surgery. Even after 4 years the patient is symptom- and complaint-free, and CT has revealed no metastases.
Authors analysed the survival of 126 patients operated for kidney carcinomas. The data on anamnesis, laboratory results and TNM histological classification were compared with the results on "relative survival" and correlation analysis was performed. Based on these, the 12 most important criteria (with the highest correlation coefficient) were emphasized and regression equation was formed based on the TSP (Time Series Processing) Version 4 (Hall). Using this method, a numerical prognostic index can be established for the judgement of prognosis regarding certain patients.
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