Resorlu Mustafa, Toprak Canan Akgun, Ozturk Muhsin Ozgun, Arslan Muhammet
Department of Radiology, Canakkale Onsekiz Mart University, Çanakkale, Turkey.
Department of Radiology, Canakkale Onsekiz Mart University, Canakkale, Turkey.
BMJ Case Rep. 2017 Jun 13;2017:bcr-2017-220945. doi: 10.1136/bcr-2017-220945.
A 55-year-old woman, diagnosed with a renal mass by abdominal ultrasonography (USG) in an external medical centre, presented to our hospital. The medical history was unremarkable except for diabetes mellitus and hypertension. The haemogram and urine tests were normal. The only pathology revealed in routine biochemistry tests was increased glucose level (164 mg/dL). The repeat USG performed in our hospital revealed a solid hypoechoic mass lesion approximately 4 cm in diameter closely adjacent to the right kidney. At Doppler ultrasonography, the tumour demonstrated intense vascularisation. An abdominal CT scan was performed to characterise the lesion. The CT scan revealed a 42Ã-39 mm mass lesion with regular contours adjacent to the right kidney. In the arterial phase, the tumour demonstrated intense enhancement and in the delayed phase the images showed washout (figure 1). The patient underwent surgery and after histopathological examination retroperitoneal haemangiopericytoma was diagnosed and no relapse or distant organ metastasis was detected throughout the 2-year follow-up.
一名55岁女性,在外院经腹部超声检查(USG)诊断为肾脏肿块,前来我院就诊。病史无特殊,仅有糖尿病和高血压。血常规和尿液检查正常。常规生化检查仅显示血糖水平升高(164mg/dL)。我院复查超声显示一个直径约4cm的实性低回声肿块,紧邻右肾。在多普勒超声检查中,肿瘤显示出丰富的血管。进行腹部CT扫描以明确病变特征。CT扫描显示一个42×39mm的肿块,轮廓规则,紧邻右肾。在动脉期,肿瘤显示出明显强化,延迟期图像显示廓清(图1)。患者接受了手术,经组织病理学检查诊断为腹膜后血管外皮细胞瘤,在2年的随访中未发现复发或远处器官转移。