Sabarwal Vikram K, Chandrasekar Aaditya, Engel Joshua, Toubaji Antoun, Engel Jason D
Department of Urology, George Washington University, Washington, DC.
Department of Urology, George Washington University, Washington, DC.
Urology. 2017 Jul;105:e9-e10. doi: 10.1016/j.urology.2017.03.041. Epub 2017 Apr 10.
A 78-year-old woman presented to the urology clinic with a large, symptomatic left-sided abdominal cyst that was believed to be renal in etiology for many years and that had been percutaneously drained 3 times previously with persistent regrowth. The patient underwent laparoscopic resection of this mass, which proved to be a completely distinct retroperitoneal cystic structure and was not renal in nature. Pathologic analysis ultimately revealed a rare occurrence: a benign retroperitoneal Müllerian serous cystadenoma. To our knowledge, this is the first report of such an entity "disguised" as a renal cyst.
一名78岁女性因左侧腹部有一个较大的有症状囊肿就诊于泌尿外科诊所。多年来一直认为该囊肿病因源于肾脏，此前曾3次经皮穿刺引流，但囊肿持续复发。患者接受了该肿物的腹腔镜切除术，结果证明这是一个完全不同的腹膜后囊性结构，本质上并非肾脏来源。病理分析最终揭示了一种罕见情况：良性腹膜后苗勒管浆液性囊腺瘤。据我们所知，这是首例此类被“伪装”成肾囊肿的病例报告。
