Triller J, Scheidegger J, Studer U, Kraft P, Läng J
Institut für Diagnostische Radiologie, Pathologisches Institut der Universität, Inselspital Bern.
Rofo. 1989 Feb;150(2):130-7. doi: 10.1055/s-2008-1046991.
The diagnostic problems are being discussed specifically in 9 patients with angiomyolipoma. Ultrasound and computerised tomography show clear results in tumours with a fatty structure, where angiography is a better method to show vascular elements. Where an inhomogeneous tissue structure is given, an exact diagnosis is only possible by using a combination of different examination methods. It is important to define a renal cell carcinoma preoperatively, as during the operation a differentiation from an angiomyolipoma is in most cases not possible. With a correct diagnosis an organ saving operation can be performed on symptomatic patients, respectively a conventional management can be discussed for the treatment of asymptomatic patients.
正在专门讨论9例血管平滑肌脂肪瘤患者的诊断问题。超声和计算机断层扫描在具有脂肪结构的肿瘤中显示出明确的结果，而血管造影是显示血管成分的更好方法。当组织结构不均匀时，只有通过结合不同的检查方法才能做出准确的诊断。术前明确肾细胞癌很重要，因为在手术中大多数情况下无法将其与血管平滑肌脂肪瘤区分开来。正确诊断后，可对有症状的患者进行保留器官的手术，或者对无症状患者讨论常规治疗方法。
