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肾黏液瘤——一种罕见的良性肾肿瘤:病例报告

Myxoma of the kidney - an unusual benign renal tumor: a case report.

作者信息

Tenkorang Somuah, Kharbach Youssef, Omana Jean-Paul, Efared Boubacar, Mellas Soufiane, Tazi Mohammed Fadl, Sekal Mohamed, Harmouch Taoufik, Khallouk Abdelhak, El Fassi Jamal Mohammed, El Ammari Jalal Eddine, Farih Moulay Hassan

机构信息

Department of Urology, Hassan II Teaching Hospital, Fez, Morocco.

Department of Anatomo-pathology, Hassan II Teaching Hospital, Fez, Morocco.

出版信息

J Med Case Rep. 2017 Feb 14;11(1):41. doi: 10.1186/s13256-016-1194-y.

Abstract

BACKGROUND

Myxomas are rare benign soft tissue tumors. The kidney is an unusual location for this tumor. For this reason, less than 15 cases of renal myxoma have been reported in the English literature. There are no specific clinical and radiological features reported for this tumor that allow a preoperative diagnosis enabling a conservative treatment.

CASE PRESENTATION

We report another case of renal myxoma found in a 50-year-old Moroccan woman who presented with a right dull flank pain. An abdominal computed tomography scan objectified a suspected malignant renal mass. Thus, radical nephrectomy was performed. Histopathology of the specimen revealed the typical appearance of a myxoma.

CONCLUSIONS

The objective of this report is to add another case report of this rare benign renal tumor to the literature. This benign tumor with excellent prognosis has no specific preoperative features that could justify a conservative management; a radical approach remains the therapeutic option for now.

摘要

背景

黏液瘤是罕见的良性软组织肿瘤。肾脏是该肿瘤的不常见发病部位。因此,英文文献中报道的肾黏液瘤病例少于15例。目前尚无针对该肿瘤的特异性临床和影像学特征可用于术前诊断以实现保守治疗。

病例报告

我们报告了另一例肾黏液瘤病例,患者为一名50岁的摩洛哥女性,表现为右侧腰部钝痛。腹部计算机断层扫描显示一个疑似恶性肾肿块。因此,实施了根治性肾切除术。标本的组织病理学检查显示为黏液瘤的典型表现。

结论

本报告的目的是在文献中增加另一例这种罕见的良性肾肿瘤病例报告。这种预后良好的良性肿瘤没有可证明保守治疗合理的特异性术前特征;目前根治性治疗仍是治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cebe/5307835/90c6587f9d84/13256_2016_1194_Fig1_HTML.jpg

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本文引用的文献

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Renal Myxoma- A Rare Variety of Benign Genitourinary Tumour.
J Clin Diagn Res. 2015 Oct;9(10):ED11-2. doi: 10.7860/JCDR/2015/15351.6631. Epub 2015 Oct 1.
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Myxoma of the kidney associated with hemorrhage.
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Myxoma of the renal sinus: case report and literature review.
Turk Patoloji Derg. 2012;28(1):76-9. doi: 10.5146/tjpath.2012.01102.
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