Aoki Katsuya, Yamaguchi Akira, Shimizu Kazuhiro, Hirayama Akihide, Fukui Yoshihisa, Samma Shoji
Department of Urology, Nara Prefectural Nara Hospital.
Hinyokika Kiyo. 2003 Jul;49(7):397-9.
A case of renal angiomyolipoma, successfully treated with non-ischemic tumor enucleation, is reported. A 16-year-old Japanese female visited another hospital with a chief complaint of general fatigue. She was diagnosed with angiomyolipoma of the right kidney, 7 cm in the long axis, which developed exteriorly at the lower pole. A nephrectomy was recommended. The patient visited us for a second opinion. We judged that nephron-sparing surgery was applicable to this case. The patient underwent non-ischemic tumor enucleation using a microwave tissue coagulator via retroperitoneal approach. The patient was discharged from our hospital 9 days after the surgery. Since a preoperative diagnosis with renal angiomyolipoma can be obtained relatively easily, maximum efforts for nephron-sparing surgery should be made.
本文报告了一例肾血管平滑肌脂肪瘤，通过非缺血性肿瘤剜除术成功治愈。一名16岁的日本女性因全身乏力为主诉就诊于另一家医院。她被诊断为右肾血管平滑肌脂肪瘤，长径7cm，位于下极外侧生长。建议行肾切除术。患者前来我院寻求第二诊疗意见。我们判断该病例适合保留肾单位手术。患者通过腹膜后途径使用微波组织凝固器进行了非缺血性肿瘤剜除术。术后9天患者从我院出院。由于肾血管平滑肌脂肪瘤术前诊断相对容易，应尽最大努力进行保留肾单位手术。
