[一例肾血管平滑肌脂肪瘤伴肿瘤血栓侵犯下腔静脉的病例]
[A Case of Renal Angiomyolipoma with Tumor Thrombus Invading the Inferior Vena Cava].
作者信息
Kojo Kosuke, Shiga Masanobu, Kawai Koji, Kurobe Masahiro, Ichioka Daishi, Yoshino Takayuki, Takaoka Eiichirou, Kojima Takahiro, Joraku Akira, Suetomi Takahiro, Miyazaki Jun, Nishiyama Hiroyuki
机构信息
The Department of Urology, University of Tsukuba.
出版信息
Hinyokika Kiyo. 2016 Jan;62(1):21-4.
A 64-year-old man with flank pain was diagnosed with right renal angiomyolipoma (AML) with tumor thrombus invading the inferior vena cava (IVC). Computed tomography showed a 55 mm IVC tumor thrombus with fat density. The patient underwent radical nephrectomy and IVC thrombcetomy with uneventful postoperative recovery. Pathological diagnosis was AML without malignancy. No recurrence has been observed for 18 months after surgery. We reviewed 60 case reports of AML with venous involvement. Furthermore, we discussed differential diagnosis between AML and other renal tumors mimicking AML with caval involvement.
一名64岁的男性因胁腹疼痛被诊断为右肾血管平滑肌脂肪瘤（AML），肿瘤血栓侵犯下腔静脉（IVC）。计算机断层扫描显示一个55毫米的下腔静脉肿瘤血栓，具有脂肪密度。患者接受了根治性肾切除术和下腔静脉血栓切除术，术后恢复顺利。病理诊断为无恶性的AML。术后18个月未观察到复发。我们回顾了60例AML伴静脉受累的病例报告。此外，我们还讨论了AML与其他模仿AML伴腔静脉受累的肾肿瘤之间的鉴别诊断。
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