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[儿童输尿管纤维上皮性息肉。病例报告]

[Fibroepithelial polyp of the ureter in a child. A case report].

作者信息

Ammor A, Chamond C, Bargy F, Beaudoin S

机构信息

Service de chirurgie viscérale pédiatrique, hôpital Saint-Vincent-De-Paul, 75014 Paris, France.

出版信息

Prog Urol. 2011 Apr;21(4):291-5. doi: 10.1016/j.purol.2010.05.002. Epub 2010 Jun 29.

Abstract

Fibroepithelial polyp of the ureter is benign tumor of mesodermal origin that rarely occurs in children. The most common presenting symptoms are hematuria and flank pain by obstruction of the urinary tract. The etiology of this tumor is not clear. It occurs more frequently in boys and often arises in the proximal ureter and the ureteropelvic junction. The preoperative diagnosis is difficult. We present the case of a 10-year-old boy who had recurrent episodes in the left flank owing to polyps of the lumbar ureter of which the fibroepithelial nature was confirmed by the pathological examination of the surgical specimen. We discuss the clinical presentations, imaging, histological features and treatment options of this unusual tumor through a review of the literature.

摘要

输尿管纤维上皮性息肉是一种中胚层来源的良性肿瘤,很少发生于儿童。最常见的症状是血尿和因尿路梗阻引起的侧腹疼痛。该肿瘤的病因尚不清楚。它在男孩中更常见,常发生于输尿管近端和输尿管肾盂连接处。术前诊断困难。我们报告一例10岁男孩,因左侧腰部输尿管息肉反复出现左侧腰腹症状,手术标本的病理检查证实了其纤维上皮性质。我们通过文献复习讨论了这种罕见肿瘤的临床表现、影像学表现、组织学特征及治疗选择。

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