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[囊肿、子宫内膜异位症、交界性肿瘤、不明原发灶癌：一个看似简单的肾囊肿的诊断节点]

[Cyst, endometriosis, borderline tumor, CUP : diagnostic stations of a supposedly simple renal cyst].

作者信息

Elert A, Forst F, Ihling C, Schneider A

机构信息

Klinik für Urologie und Kinderurologie, Main-Kinzig-Kliniken gGmbH, Herzbachweg 14, 63571, Gelnhausen, Deutschland.

出版信息

Urologe A. 2010 Dec;49(12):1522-4, 1526. doi: 10.1007/s00120-010-2429-y.

DOI:10.1007/s00120-010-2429-y
PMID:20949255
Abstract

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.

摘要

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。

相似文献

1
[Cyst, endometriosis, borderline tumor, CUP : diagnostic stations of a supposedly simple renal cyst].[囊肿、子宫内膜异位症、交界性肿瘤、不明原发灶癌：一个看似简单的肾囊肿的诊断节点]
Urologe A. 2010 Dec;49(12):1522-4, 1526. doi: 10.1007/s00120-010-2429-y.
2
Differentiation between renal cyst and carcinoma.
J Urol. 1969 Feb;101(2):137-9. doi: 10.1016/s0022-5347(17)62295-x.
3
[A case of renal clear-cell carcinoma simulating a renal cyst. Diagnostic and therapeutic considerations].[一例酷似肾囊肿的肾透明细胞癌。诊断与治疗考量]
Chir Ital. 1978 Aug;30(4):434-7.
4
Multilocular cystic disease of kidney.肾多房性囊性疾病
Urology. 1979 Jan;13(1):58-60. doi: 10.1016/0090-4295(79)90016-5.
5
[Calcified renal carcinoma. Diagnostic difficulty].[钙化性肾癌。诊断难点]
Arch Esp Urol. 1990 Jul-Aug;43(6):623-7.
6
Patients with renal cysts associated with renal cell carcinoma and the clinical implications of cyst puncture: a study of 223 cases.
Urology. 1996 May;47(5):643-6. doi: 10.1016/s0090-4295(96)00016-7.
7
[An incidental finding of renal cysts: routine occurrence or a finding deserving clarification?].
Schweiz Med Wochenschr. 1987 May 23;117(21):785-94.
8
The accuracy of gray-scale renal ultrasonography in differentiating cystic neoplasms from benign cysts.灰阶肾超声检查在鉴别囊性肿瘤与良性囊肿方面的准确性。
Radiology. 1982 Jun;143(3):741-5. doi: 10.1148/radiology.143.3.7079503.
9
Simple renal cysts in children.
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10
The simultaneous occurrence of renal carcinoma and cyst. Problems in management.肾癌与囊肿的同时出现。治疗中的问题。
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本文引用的文献

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Primary gastrointestinal lymphoma in childhood (up to 18 years of age). A morphological, immunohistochemical and clinical study.儿童原发性胃肠道淋巴瘤（18岁及以下）。一项形态学、免疫组织化学及临床研究。
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