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妊娠期因肾小球旁细胞瘤导致的新发高血压

Newly developed hypertension due to juxtaglomerular cell tumor in pregnancy.

作者信息

Shin Yu Seob, Cha Jai Seong, Kang Myoung Jae, Park Jong Kwan, Kim Hyung Jin, Kim Myung Ki

机构信息

Department of Urology, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Korea.

出版信息

Clin Nephrol. 2012 Oct;78(4):325-7. doi: 10.5414/cn107203.

Abstract

An unusual case of juxtaglomerular cell tumor (JCT) is presented. A 29-year-old woman visited our hospital for the management of incidentally detected renal mass due to newly developed hypertension in the 20th week of pregnancy. Laboratory studies showed increased basal plasma renin activity and hypokalemia but serum aldosterone level was normal. Abdominal computed tomography scan showed about 2.4 cm sized multicystic mass in the right kidney. Nephron-sparing surgery was performed with excellent results. On histological examination, the tumor exhibited a structure typical feature of JCT. A few days later the patient's blood pressure had been normalized.

摘要

本文报告了一例罕见的肾小球旁细胞瘤(JCT)。一名29岁女性因妊娠20周时新出现的高血压前来我院就诊,其肾脏肿块为偶然发现。实验室检查显示基础血浆肾素活性升高和低钾血症,但血清醛固酮水平正常。腹部计算机断层扫描显示右肾有一个约2.4厘米大小的多囊性肿块。行保留肾单位手术,效果良好。组织学检查显示,肿瘤呈现出JCT的典型结构特征。几天后,患者血压恢复正常。

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