Piovesan Affonso Celso, Torricelli Fábio César Miranda, Borges Leonardo Lima, Chambô José Luiz, Mesquita José Luiz Borges de, Srougi Miguel
Urology Department, Faculdade de Medicina, Universidade de São Paulo.
Sao Paulo Med J. 2009 Jul;127(4):238-40. doi: 10.1590/s1516-31802009000400010.
Ureteral fibroepithelial polyps are rare benign nonepithelial tumors, and less than 200 cases have been reported in the literature. We report on a pregnant patient with ureteral fibroepithelial polyps that were successfully treated with laparotomy.
A 23-year-old pregnant woman presented with a three-month history of intermittent lumbar pain of low intensity. Abdominal ultrasonography showed that she was 13 weeks pregnant and found severe left-side ureterohydronephrosis and a heterogeneous solid mass measuring 11 x 8 x 7 centimeters in the middle portion of the ureteral topography. The investigation was complemented with magnetic resonance imaging, which confirmed the previous findings. Nephroureterectomy was performed without complications. The specimen revealed three solid tumors in the ureter, of which the largest was around eight centimeters in length. The anatomopathological report confirmed that they were fibroepithelial tumors without malignant components.
输尿管纤维上皮息肉是罕见的良性非上皮性肿瘤,文献报道不足200例。我们报告一例经剖腹手术成功治疗的输尿管纤维上皮息肉妊娠患者。
一名23岁孕妇,有三个月间歇性轻度腰痛病史。腹部超声检查显示她怀孕13周,发现左侧严重输尿管肾盂积水,在输尿管中段有一个大小为11×8×7厘米的不均匀实性肿块。通过磁共振成像进一步检查,证实了先前的发现。行肾输尿管切除术,无并发症。标本显示输尿管内有三个实性肿瘤,其中最大的约8厘米长。解剖病理学报告证实它们是无恶性成分的纤维上皮肿瘤。