Goren Mehmet Resit, Erbay Gurcan, Ozer Cevahir, Goren Vinil, Bal Nebil
Department of Urology, Baskent University Adana Medical and Research Center, Adana, Turkey;
Department of Radiology, Baskent University Adana Medical and Research Center, Adana, Turkey;
Can Urol Assoc J. 2015 Sep-Oct;9(9-10):E734-6. doi: 10.5489/cuaj.3011. Epub 2015 Oct 13.
Renal leiomyomas are exceptionally rare benign tumours of the kidney. Although the renal leiomyomas usually do not metastasize, the differential diagnosis between renal leiomyomas and malign lesions (leiomyosarcoma or renal cell carcinoma) cannot be done by radiological examinations, but is possible by histological examination. Surgery is the preferred treatment. After surgery, the prognosis is excellent without recurrence. Although uterine leiomyomas can be multicentric, renal leiomyomas have been single lesions. We report an incidentally detected case of bilateral renal leiomyoma in a 50-year-old woman with a 5-year follow-up. We also review the literature and discuss clinical, radiological and histological features of renal leiomyomas.
肾平滑肌瘤是极为罕见的肾脏良性肿瘤。尽管肾平滑肌瘤通常不会发生转移,但肾平滑肌瘤与恶性病变(平滑肌肉瘤或肾细胞癌)之间的鉴别诊断无法通过影像学检查完成,而通过组织学检查则有可能实现。手术是首选的治疗方法。术后预后良好,无复发。虽然子宫平滑肌瘤可以是多中心的,但肾平滑肌瘤一直是单发病变。我们报告一例50岁女性偶然发现的双侧肾平滑肌瘤病例,并进行了5年随访。我们还回顾了文献并讨论了肾平滑肌瘤的临床、影像学和组织学特征。