Yang Hongyuan, Wang Zufei, Ji Jiansong
Department of Radiology, The Central Hospital of Lishui, Lishui, Zhejiang 323000, P.R. China.
Oncol Lett. 2016 Feb;11(2):1418-1420. doi: 10.3892/ol.2015.4041. Epub 2015 Dec 21.
The current study reports the case of a 29-year-old female with a long-standing history of hypertension and headaches who presented to the Outpatient Clinic of The Central Hospital of Lishui (Lishui, Zhejiang, China). Abdominal ultrasound and contrast-enhanced computed tomography were performed, which showed a left renal neoplasm, prompting a diagnosis of renal angiomyolipoma or renal cell carcinoma. After a laparoscopic partial nephrectomy was performed, a number of different diagnoses were suggested by several pathologists from eight hospitals. Considering the patient's gender, age, medical history, histopathological features and immunohistochemistry, a final diagnosis of a juxtaglomerular cell tumor (JGCT) was established. The present study therefore indicates that the possibility of a JGCT should be considered when young adults present with renal parenchymatous tumors and high blood pressure. In addition, pathologists must take clinical information into account to form a precise diagnosis.
本研究报告了一名29岁女性的病例,该患者有长期高血压和头痛病史,前往丽水市中心医院(中国浙江丽水)门诊就诊。进行了腹部超声和增强计算机断层扫描,结果显示左肾肿瘤,提示诊断为肾血管平滑肌脂肪瘤或肾细胞癌。在进行腹腔镜部分肾切除术后,八家医院的几位病理学家提出了多种不同的诊断。综合考虑患者的性别、年龄、病史、组织病理学特征和免疫组化结果,最终确诊为球旁细胞瘤(JGCT)。因此,本研究表明,当年轻成人出现肾实质肿瘤和高血压时,应考虑JGCT的可能性。此外,病理学家必须考虑临床信息以形成准确的诊断。