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儿童肾血管平滑肌脂肪瘤行腹腔镜肾部分切除术治疗继发高血压

Hypertension secondary to reninoma treated with laparoscopic nephron-sparing surgery in a child.

机构信息

Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China.

出版信息

Urology. 2012 Jul;80(1):210-3. doi: 10.1016/j.urology.2012.03.024. Epub 2012 May 17.

Abstract

Reninoma is an extremely rare, renin-secreting, benign kidney tumor that can cause hypertension. We present a case of hypertension secondary to reninoma treated with laparoscopic nephron-sparing surgery in a 15-year-old girl and review some relevant published literature. Laparoscopic retroperitoneal nephron-sparing surgery was performed and the tumor was removed intact. The histopathologic examination showed the characteristic of reninoma with positive CD34 staining immunohistochemically. The patient's blood pressure and level of serum potassium remained normal at 1-month follow-up examination.

摘要

肾素瘤是一种非常罕见的、能分泌肾素的良性肾脏肿瘤,可导致高血压。我们报告了一例 15 岁女孩因肾素瘤继发高血压行腹腔镜保留肾单位手术治疗的病例,并复习了一些相关的文献。采用腹腔镜经腹膜后入路行保留肾单位手术,完整切除肿瘤。组织病理学检查显示肿瘤具有肾素瘤的特征,免疫组织化学 CD34 染色阳性。术后 1 个月随访时,患者血压和血钾水平均正常。

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