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年轻女性中酷似肾癌的真性肾上腺囊肿:一例报告

True adrenal cyst mimicking renal cancer in a young woman: a case report.

作者信息

Schlittler Luis Alberto, Dallagasperina Viviane Weiller, Carlotto Jorge Roberto Marcante, Vilarroel Rodrigo Ughini, Lazaretti Nícolas Silva

机构信息

Departamento de Oncologia, Hospital da Cidade de Passo Fundo Rua Tiradentes, 295 - Passo Fundo/RS - Cep 99010-260 Brasil.

出版信息

Cases J. 2009 Aug 12;2:7351. doi: 10.4076/1757-1626-2-7351.

Abstract

The adrenal cyst is a rare disease that represents approximately 5% of discovered adrenal lesions, which are usually discovered incidentally. True adrenal cysts originate to cells from mesothelium. The potential of cyst adrenal to become malignant has been reported to be 7% and a radical excision of a potentially malignant mass are indicate. We report a case of a 48 year old woman that presented with pain in left hypochondrium and epigastrium, nausea, vomiting, weight loss and microscopic hematuria. After the diagnosis suspicion surgery was performed with a monoblock resection of left kidney and left adrenal gland because of kidney cancer diagnosis as considered. The microscopically analysis of surgical specimen, diagnosed a true epithelial cyst of adrenal gland.

摘要

肾上腺囊肿是一种罕见疾病,约占已发现肾上腺病变的5%,通常为偶然发现。真性肾上腺囊肿起源于间皮细胞。据报道,肾上腺囊肿恶变的可能性为7%,对于潜在恶性肿块需行根治性切除。我们报告一例48岁女性患者,表现为左季肋部和上腹部疼痛、恶心、呕吐、体重减轻及镜下血尿。因考虑诊断为肾癌,故行手术,术中将左肾和左肾上腺整块切除。手术标本的显微镜检查诊断为肾上腺真性上皮囊肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f0/2769351/a381ab4b2a96/1757-1626-0002-0000007351-001.jpg

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