Department of Urology, University of Rochester Medical Center, Rochester, NY 14642, USA.
Urology. 2012 Feb;79(2):e15-6. doi: 10.1016/j.urology.2011.04.019. Epub 2011 Jun 30.
Angiomyolipoma is a rare benign tumor most commonly found in the kidney and, infrequently, extrarenally. We report a case of pelvic angiomyolipoma in a male patient without stigmata of tuberous sclerosis. The patient presented with right retroperitoneal bleeding and was found to have bilateral renal angiomyolipomas as well as a pelvic mass with similar appearance as the other lesions. He underwent urgent embolization of the large right angiomyolipoma and subsequent robot-assisted left laparoscopic partial nephrectomy with simultaneous resection of the pelvic mass, which was well-tolerated. Pathology confirmed what is, to our knowledge, the only reported case of pelvic angiomyolipoma.
血管平滑肌脂肪瘤是一种罕见的良性肿瘤,最常见于肾脏,偶尔也见于肾外。我们报告了一例男性盆腔血管平滑肌脂肪瘤病例,该患者无结节性硬化症的特征。该患者表现为右侧腹膜后出血,发现双侧肾血管平滑肌脂肪瘤以及一个与其他病变相似的盆腔肿块。他接受了紧急栓塞治疗右侧大血管平滑肌脂肪瘤,随后进行机器人辅助左腹腔镜部分肾切除术,同时切除盆腔肿块,患者耐受良好。病理证实了这是我们所知的唯一一例盆腔血管平滑肌脂肪瘤病例。