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[成人多囊肾:排除性诊断?]

[Multilocular renal cyst in adults: a diagnosis by exclusion?].

作者信息

Redondo Martínez E, Rey López A

机构信息

Servicio de Anatomía Patológica, Hospital Nuestra Señora del Pino, Las Palmas de Gran Canaria, España.

出版信息

Arch Esp Urol. 1991 May;44(4):359-62.

PMID:2064438
Abstract

The clinical and the gross and microscopic features of two multicystic masses in adult female patients are described. These met the Powell and Boggs and Kimelstiel criteria for multilocular renal cyst (MRC). MRC may be the common process and the gross expression of different disease entities with different biological significance which must be distinguished clinically and anatomopathologically. We present the data for differential diagnosis of conditions that may present as MRC: partially differentiated cystic nephroblastoma, mesoblastic congenital cystic nephroma, lymphangioma (more common in infants), cystic renal carcinoma and sarcoma, segmental polycystic kidney (more common in adults) and segmental renal dysplasia. The diagnosis of multilocular renal cyst should be made only after discarding the foregoing conditions.

摘要

本文描述了两名成年女性患者体内两个多囊性肿块的临床、大体及显微镜下特征。这些特征符合鲍威尔和博格斯以及金梅尔斯蒂尔关于多房性肾囊肿(MRC)的标准。MRC可能是具有不同生物学意义的不同疾病实体的常见过程和大体表现,必须在临床和解剖病理学上加以区分。我们提供了可能表现为MRC的疾病的鉴别诊断数据:部分分化型囊性肾母细胞瘤、中胚层先天性囊性肾瘤、淋巴管瘤(在婴儿中更常见)、囊性肾癌和肉瘤、节段性多囊肾(在成人中更常见)以及节段性肾发育不良。多房性肾囊肿的诊断应仅在排除上述疾病后做出。

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