Yamamoto K, Iwasaki H, Nakanouchi T, Nakamura M, Ukimura O, Kawauchi A, Kojima M, Miki T, Araki H
Department of Urology, Kyoto Prefectural University of Medicine.
Hinyokika Kiyo. 1999 Oct;45(10):699-701.
A 28-year-old female complained of minimal fever elevation. Computed tomography (CT) revealed a left renal tumor of 10 cm in diameter. Ultrasonogram and CT, magnetic resonance imaging and angiography suggested a renal angiomyolipoma (AML) with marked extrarenal development. Partial nephrectomy was performed using a microwave tissue coagulater without clamping of the renal artery. The tumor weight was 800 g and the pathological diagnosis was AML. The management of large AML is reviewed in the literature. Nephron sparing surgery should be performed even in patients who have a larger tumor with extrarenal development.
一名28岁女性主诉有低热。计算机断层扫描（CT）显示左肾有一个直径10厘米的肿瘤。超声检查、CT、磁共振成像和血管造影提示为肾血管平滑肌脂肪瘤（AML），伴有明显的肾外生长。使用微波组织凝固器在未夹闭肾动脉的情况下进行了部分肾切除术。肿瘤重量为800克，病理诊断为AML。文献中对大型AML的治疗进行了综述。即使是肿瘤较大且有肾外生长的患者，也应进行保留肾单位手术。
