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肾平滑肌瘤:印度的经验及文献综述

Leiomyoma of kidney: An Indian experience with literature review.

作者信息

Mitra Bhaskar, Debnath Sharmistha, Pal Mallika, Paul Biswanath, Saha Tarak Nath, Maiti Ashok

机构信息

Department of Pathology, Midnapore Medical College & Hospital, Paschim Medinipur, West Bengal, India.

出版信息

Int J Surg Case Rep. 2012;3(11):569-73. doi: 10.1016/j.ijscr.2012.07.015. Epub 2012 Aug 13.

Abstract

INTRODUCTION

Leiomyoma of kidney is an exceptional finding in the urinary tract. Though most of these tumors are detected on autopsy, still it remains a diagnostic challenge.

PRESENTATION OF CASE

We report three adult cases of renal leiomyoma in our institute who presented with abdominal mass and haematuria in last 8 years.

DISCUSSION

Leiomyoma has been reported in other organs but renal leiomyoma is rare tumour, though in autopsy series they are second in order of frequency among the renal mesenchymal neoplasms, and few cases have been described in the literature. Still no Indian experience is evaluated on this rare site of occurrence.

CONCLUSION

Considering the difficulty of clinical diagnosis of this tumour, strong suspicion is indicated when a patient presents with voluminous, well circumscribed renal lesions.

摘要

引言

肾平滑肌瘤是泌尿道中一种罕见的发现。尽管这些肿瘤大多是在尸检时发现的,但它仍然是一个诊断难题。

病例介绍

我们报告了我院最近8年出现的3例成年肾平滑肌瘤病例,这些病例均表现为腹部肿块和血尿。

讨论

平滑肌瘤在其他器官中已有报道,但肾平滑肌瘤是一种罕见的肿瘤,尽管在尸检系列中,它们在肾间叶肿瘤中按频率排序位居第二,且文献中描述的病例很少。对于这种罕见的发病部位,印度仍缺乏相关经验评估。

结论

考虑到该肿瘤临床诊断的困难,当患者出现体积较大、边界清晰的肾脏病变时,应高度怀疑。

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