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下尿路症状的极其罕见病例:腹部漂浮性良性间充质肿块

An Extremely Rare Case of Lower Urinary Tract Symptoms: Floating Benign Mesenchymal Mass in Abdomen.

作者信息

Kati Bulent, Akin Yigit, Pelit Eyyup Sabri, Yilmaz Mehmet Ogur

机构信息

Department of Urology, Faculty of Medicine, Harran University, Sanliurfa, Turkey.

Department of Urology, Faculty of Medicine, Harran University, Sanliurfa, Turkey; Department of Urology, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.

出版信息

Case Rep Urol. 2017;2017:9854343. doi: 10.1155/2017/9854343. Epub 2017 Feb 23.

Abstract

A 48-year-old man admitted to the urology outpatient clinic with major symptoms of right-side pain and intermittent lower urinary tract symptoms (LUTSs) such as low urine flow rate, dysuria, and frequency. Uroflowmetry showed low urine flow, and laboratory tests revealed no pathology. Ultrasound (US) showed a 7 cm calcific mass above the bladder and a kidney cyst with a diameter of 5.3 cm in the upper pole of the right kidney. Enhanced computed tomography confirmed the US findings. Laparoscopic transperitoneal cyst decortication was performed. There was no sign of additional tumors. An independent mass in the abdomen was diagnosed, and the mass was removed. Based on the pathology, the diagnosis was a benign mesenchymal calcific mass. This is the first report of LUTSs due to a free benign mesenchymal mass in the published literature.

摘要

一名48岁男性因右侧疼痛以及诸如尿流率低、排尿困难和尿频等间歇性下尿路症状(LUTS)前往泌尿外科门诊就诊。尿流率测定显示尿流率低,实验室检查未发现病变。超声(US)显示膀胱上方有一个7厘米的钙化肿块,右肾上极有一个直径5.3厘米的肾囊肿。增强计算机断层扫描证实了超声检查结果。进行了腹腔镜经腹囊肿剥除术。未发现其他肿瘤迹象。诊断为腹部有一个独立肿块,并将该肿块切除。根据病理结果,诊断为良性间充质钙化肿块。这是已发表文献中关于由游离良性间充质肿块导致LUTS的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/954e/5343291/b7ac0bc580cb/CRIU2017-9854343.001.jpg

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