Fröhlich T, Brands A, Thon W F, Weskott H P, Ostertag H
Department of Urology, Klinikum Hannover, Krankenhaus Siloah, Germany.
World J Urol. 1999 Apr;17(2):123-5. doi: 10.1007/s003450050117.
Angiomyolipoma (AML) is a benign mesenchymal tumor predominantly occurring in the kidney. Despite its low incidence of 0.07-0.03% in an unselected population, this tumor is well known, because the typical AML can be diagnosed without histological confirmation by a combination of ultrasound (US) and computerized tomography (CT) imaging in up to 95% of cases. In contrast, simultaneous involvement of the kidney and the regional lymph nodes is less known and might be confused with metastasizing malignant tumor. We report a case of the very uncommon simultaneous involvement of the kidney and the lymph nodes in AML.
血管平滑肌脂肪瘤(AML)是一种主要发生于肾脏的良性间叶组织肿瘤。尽管其在未经过挑选的人群中的发病率低至0.07%-0.03%,但这种肿瘤广为人知,因为典型的AML在高达95%的病例中无需组织学确诊,通过超声(US)和计算机断层扫描(CT)成像相结合即可诊断。相比之下,肾脏和区域淋巴结同时受累的情况鲜为人知,可能会与转移性恶性肿瘤相混淆。我们报告一例AML同时累及肾脏和淋巴结的非常罕见的病例。