Quek Marcus L, Soni Rashida A, Hsu Joshua, Skinner Donald G
Department of Urology, University of Southern California, Kenneth Norris Jr. Comprehensive Cancer Center, Los Angeles, California 90089, USA.
Urology. 2005 Apr;65(4):797. doi: 10.1016/j.urology.2004.10.009.
We report a unique case of a 42-year-old woman with a renal epithelioid angiomyolipoma associated with elevated serum prolactin levels and presenting with galactorrhea. Magnetic resonance imaging of the brain showed no pituitary abnormality, and abdominal imaging demonstrated a large right renal mass. Pathologic analysis of the radical nephrectomy specimen revealed an epithelioid angiomyolipoma. She had an uneventful postoperative recovery with complete normalization of her serum prolactin level and resolution of galactorrhea. To our knowledge, the association between epithelioid angiomyolipoma and hyperprolactinemia has never before been reported.
我们报告了一例独特的病例,一名42岁女性患有肾上皮样血管平滑肌脂肪瘤,伴有血清催乳素水平升高并出现溢乳症状。脑部磁共振成像显示垂体无异常,腹部成像显示右肾有一个大肿块。根治性肾切除标本的病理分析显示为上皮样血管平滑肌脂肪瘤。她术后恢复顺利,血清催乳素水平完全恢复正常,溢乳症状消失。据我们所知,此前从未有过上皮样血管平滑肌脂肪瘤与高催乳素血症之间关联的报道。