Nishida Sachiyo, Kinoshita Hidefumi, Okinami Takeshi, Kunishima Yasuharu, Segawa Takehiko, Ito Noriyuki, Yamamoto Shingo, Kamoto Toshiyuki, Habuchi Tomonori, Ogawa Osamu
Department of Urology, Kyoto University Hospital.
Hinyokika Kiyo. 2004 Jun;50(6):445-7.
A 58-year-old female presented with a well-encapsulated tumor in the left renal hilum on computed tomography (CT). On magnetic resonance imaging (MRI), the tumor showed low intensity on the T1-weighted image, high intensity on the T2-weighted image. Laparoscopic radical nephrectomy was performed because we could not exclude the possibility of malignancy such as renal cell carcinoma. Histopathological examination revealed that the tumor was a benign Schwannoma. Although renal hilum is a common site of renal schwannoma, it is difficult to differentiate benign tumors from malignant ones, and then nephrectomy is usually performed.
一名58岁女性在计算机断层扫描(CT)中显示左肾门有一个包膜完整的肿瘤。在磁共振成像(MRI)上,该肿瘤在T1加权图像上呈低信号,在T2加权图像上呈高信号。由于我们不能排除恶性肿瘤(如肾细胞癌)的可能性,因此进行了腹腔镜根治性肾切除术。组织病理学检查显示该肿瘤为良性神经鞘瘤。虽然肾门是肾神经鞘瘤的常见部位,但很难将良性肿瘤与恶性肿瘤区分开来,因此通常会进行肾切除术。