Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
J Hypertens. 2010 Mar;28(3):628-32. doi: 10.1097/HJH.0b013e328333b056.
Juxtaglomerular cell tumor (JCT) of the kidney is a rare benign renal neoplasm. Four cases of JCT of the kidney have been diagnosed and treated surgically in our hospital from January 2005 to August 2008. The clinical features, laboratory examination, imaging examination, pathological results and electron microscopy examination were analyzed, and a review of the literature was summarized. Three patients underwent open partial nephrectomy, and one patient underwent laparoscopic partial nephrectomy. Pathological examination confirmed the final diagnosis of JCT of the kidney. The blood pressure, potassium, renin and aldosterone remained within the normal range after surgery. JCT of the kidney should be kept in mind because they represent a surgically curable cause of secondary hypertension. Nephron-sparing surgery is recommended.
肾脏的肾小球旁细胞瘤(JCT)是一种罕见的良性肾肿瘤。2005 年 1 月至 2008 年 8 月,我院诊断并手术治疗了 4 例肾脏 JCT。分析了其临床特征、实验室检查、影像学检查、病理结果和电镜检查,并进行了文献复习。3 例行开放性肾部分切除术,1 例行腹腔镜肾部分切除术。病理检查证实了 JCT 的最终诊断。术后血压、血钾、肾素和醛固酮均在正常范围内。由于它们代表了继发性高血压的一种可手术治愈的原因,因此应牢记 JCT。建议行保留肾单位手术。