Elert A, Forst F, Ihling C, Schneider A
Klinik für Urologie und Kinderurologie, Main-Kinzig-Kliniken gGmbH, Herzbachweg 14, 63571, Gelnhausen, Deutschland.
Urologe A. 2010 Dec;49(12):1522-4, 1526. doi: 10.1007/s00120-010-2429-y.
Symptomatic renal cysts are not uncommon and can be treated by puncture, sclerotherapy, or laparoscopic fenestration. We report the case of a female patient in whom the diagnosis of a supposedly simple symptomatic renal cyst changed over endometriosis and borderline malignancy to a CUP. This case shows that in spite of all diagnostic measures and care the final diagnosis can be a surprise.
有症状的肾囊肿并不少见,可通过穿刺、硬化治疗或腹腔镜开窗术进行治疗。我们报告了一例女性患者的病例,其最初被诊断为疑似单纯性有症状肾囊肿,最终却被诊断为子宫内膜异位症、交界性恶性肿瘤,最后确诊为不明原发灶癌(CUP)。该病例表明,尽管采取了所有诊断措施并给予了充分关注,但最终诊断仍可能令人惊讶。