Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Kaohsiung J Med Sci. 2011 Feb;27(2):72-5. doi: 10.1016/j.kjms.2010.05.003.
A 27-year-old female with chronic right-side flank pain was diagnosed with renal epithelioid angiomyolipoma (EAML) extending as a thrombus into the renal vein and vena cava. Intravascular extension of EAML is quite rare; however, it may result in fatal complications if not appropriately treated. She successfully underwent a radical nephrectomy and inferior vena caval thrombectomy. Intravascular extension of EAML, although rare, has been reported. We present a new case and a description of the surgical management. Furthermore, we reviewed and analyzed nine case reports of invasive renal EAMLs.
一位 27 岁的女性患者因慢性右侧腰部疼痛被诊断为右肾上皮样血管平滑肌脂肪瘤（EAML），肿瘤栓子延伸至肾静脉和下腔静脉。EAML 的血管内延伸非常罕见，但如果治疗不当，可能会导致致命的并发症。她成功地接受了根治性肾切除术和下腔静脉血栓切除术。EAML 的血管内延伸虽然罕见，但已有报道。我们报告了一例新病例，并描述了手术治疗方法。此外，我们回顾分析了 9 例侵袭性肾 EAML 的病例报告。
