Osawa Saeko, Hosokawa Yoshiya, Soda Tetsuji, Yasuda Tetsuyuki, Kaneto Hideaki, Kitamura Tetsuhiro, Kozawa Junji, Otsuki Michio, Imagawa Akihisa, Okumi Masayoshi, Miyagawa Yasushi, Nonomura Norio, Shimomura Iichiro
Department of Metabolic Medicine, Osaka University Graduate School of Medicine, Japan.
Intern Med. 2013;52(17):1937-42. doi: 10.2169/internalmedicine.52.0395.
We herein report the case of a patient with a juxtaglomerular cell tumor (JCT). Dynamic enhanced computed tomography revealed a small nodule on the surface of the lower pole of the right kidney. Selective renal venous sampling showed an elevated level of plasma renin activity (PRA) in the right lower pole renal vein only. We performed right partial nephrectomy and diagnosed the patient with JCT. Making a diagnosis of JCT is often difficult due to the small size of the tumor and the lack of lateralization of the PRA on renal venous sampling. This case highlights the importance of performing selective renal venous sampling for the preoperative diagnosis of JCT.
我们在此报告一例患有肾小球旁细胞瘤(JCT)的患者。动态增强计算机断层扫描显示右肾下极表面有一个小结节。选择性肾静脉采样显示仅右下极肾静脉中的血浆肾素活性(PRA)水平升高。我们进行了右肾部分切除术,并诊断该患者患有JCT。由于肿瘤体积小以及肾静脉采样时PRA缺乏侧向化,JCT的诊断往往很困难。该病例突出了进行选择性肾静脉采样对JCT术前诊断的重要性。