Hashizume Kazumi, Matsumoto Seiji, Nakazono Syusaku, Tamaki Gaku, Motoya Tadasu, Iwata Tatsuya, Kitahara Katsuyuki, Kakizaki Hidehiro
Department of Renal and Urologic Surgery, Asahikawa Medical University.
Nihon Hinyokika Gakkai Zasshi. 2012 May;103(3):573-7. doi: 10.5980/jpnjurol.103.573.
Solitary fibrous tumor (SFT) is a neoplasm of pleura and its occurrence in the retroperitoneal space is rare. We report a case of SFT of the adrenal gland associated with ipsilateral renal cell carcinoma (RCC) and angiomyolipoma (AML). A 48-year-old woman was referred to our hospital for a left renal AML. Computed tomography (CT) in our hospital showed a left adrenal mass (25 x 20 mm). Because the adrenal tumor was nonfunctioning, she was followed at outpatient clinic. Four years later, CT showed an increase in the left adrenal tumor size (42 x 30 mm) and a left RCC. Left adrenectomy and partial nephrectomy for RCC and AML were simultaneously performed. Histological examination revealed adrenal SFT and clear cell carcinoma and AML of the kidney. We present a brief review on histological characteristics of retroperitoneal SFT and its occurrence in the adrenal grand region.
孤立性纤维瘤（SFT）是一种起源于胸膜的肿瘤，其发生于腹膜后间隙较为罕见。我们报告一例肾上腺SFT合并同侧肾细胞癌（RCC）和血管平滑肌脂肪瘤（AML）的病例。一名48岁女性因左侧肾AML转诊至我院。我院计算机断层扫描（CT）显示左侧肾上腺肿块（25×20mm）。由于肾上腺肿瘤无功能，她在门诊接受随访。四年后，CT显示左侧肾上腺肿瘤增大（42×30mm），并发现左侧RCC。同时进行了左侧肾上腺切除术以及针对RCC和AML的部分肾切除术。组织学检查显示肾上腺SFT、肾透明细胞癌和AML。我们对腹膜后SFT的组织学特征及其在肾上腺区域的发生情况进行简要综述。
