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妊娠期肾素瘤与肾上腺腺瘤并存:一例报告。

Reninoma coexisting with adrenal adenoma during pregnancy: A case report.

作者信息

Xue Mei, Chen Yan, Zhang Jin, Guan Youyan, Yang Lin, Wu Bing

机构信息

Department of Diagnostic Radiology, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing 100021, P.R. China.

Department of Urology, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing 100021, P.R. China.

出版信息

Oncol Lett. 2017 May;13(5):3186-3190. doi: 10.3892/ol.2017.5802. Epub 2017 Mar 3.

Abstract

Reninoma is a rare form of secondary hypertension. The present study reported a case of reninoma that coexisted with an adrenal adenoma in a young female with secondary hypertension during pregnancy. The patient, a 31-year-old female exhibiting hypertension for >1 year, developed a mass in the right adrenal gland, which was detected by an ultrasound scan in the 33rd gestational week. In addition, a well-defined solid mass on the left kidney was detected by a magnetic resonance imaging scan1 month subsequent to the termination of the pregnancy. The blood pressure (BP) of the patient did not change subsequent to the laparoscopic right adrenalectomy. The patient subsequently underwent laparoscopic left partial nephrectomy 2 months later. The BP levels demonstrated a significant reduction from 177/115 to 125/80 mmHg in the same day postoperatively, and stabilized to be within the normal range. The BP level of the patient remained within the normal range subsequent to a 6-month follow-up. Pathological analysis revealed reninoma on the left kidney. The present study aimed to provide information for radiologists who may encounter this type of benign tumor in the future, which exhibits elevated BP levels.

摘要

肾素瘤是继发性高血压的一种罕见形式。本研究报告了一例肾素瘤病例,该病例发生在一名患有继发性高血压的年轻孕妇身上,且与肾上腺腺瘤并存。患者为一名31岁女性,高血压病史超过1年,在妊娠第33周时经超声检查发现右肾上腺有一个肿块。此外,在终止妊娠1个月后,通过磁共振成像扫描在左肾发现了一个边界清晰的实性肿块。患者接受腹腔镜右肾上腺切除术后血压未发生变化。2个月后患者随后接受了腹腔镜左肾部分切除术。术后同一天血压水平从177/115显著降至125/80 mmHg,并稳定在正常范围内。经过6个月的随访,患者血压水平一直保持在正常范围内。病理分析显示左肾存在肾素瘤。本研究旨在为未来可能遇到此类伴有血压升高的良性肿瘤的放射科医生提供信息。

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