肾血管平滑肌脂肪瘤
Renal angiomyolipoma.
作者信息
Çalışkan Selahattin, Gümrükçü Gülistan, Özsoy Emrah, Topaktas Ramazan, Öztürk Metin İshak
机构信息
Haydarpaşa Numune Training and Research Hospital, Department of Urology, Istambul, Turquey.
Haydarpaşa Numune Training and Research Hospital, Department of Pathology, Istambul, Turquey.
出版信息
Rev Assoc Med Bras (1992). 2019 Aug 5;65(7):977-981. doi: 10.1590/1806-9282.65.7.977.
INTRODUCTION
Angiomyolipoma is one of the most common benign solid renal tumors. We investigated the characteristics of renal angiomyolipomas and the clinical outcomes of patients in the last thirteen years.
METHODS
The medical records of the patients who underwent nephrectomy were reviewed retrospectively from July 2005 to May 2018. The laboratory data, radiology, and pathology reports were recorded. Patients diagnosed with angiomyolipoma were included in the study.
RESULTS
A total of 28 patients were included in the study, eight of them male. The mean age of the patients was 55.89+14.49 years. The patients were treated with open and laparoscopic techniques. Partial nephrectomy was performed in 12 patients(42.85%). After pathological examination, 23 patients were diagnosed as fat rich, four patients as fat poor, and one as epithelioid angiomyolipoma. There were no recurrences in the follow-up 91.21+48.31 months.
CONCLUSION
Angiomyolipoma is a rare renal tumor in daily urology practice. Clinicians must be aware of its complications and manage patients well.
引言
肾血管平滑肌脂肪瘤是最常见的良性实性肾肿瘤之一。我们研究了过去十三年中肾血管平滑肌脂肪瘤的特征及患者的临床结局。
方法
回顾性分析2005年7月至2018年5月期间接受肾切除术患者的病历。记录实验室数据、影像学和病理报告。纳入诊断为肾血管平滑肌脂肪瘤的患者。
结果
本研究共纳入28例患者，其中8例为男性。患者的平均年龄为55.89±14.49岁。患者接受了开放手术和腹腔镜手术治疗。12例患者（42.85%）接受了部分肾切除术。经病理检查，23例患者被诊断为富脂型，4例为少脂型，1例为上皮样血管平滑肌脂肪瘤。在91.21±48.31个月的随访中无复发。
结论
肾血管平滑肌脂肪瘤在日常泌尿外科实践中是一种罕见的肾肿瘤。临床医生必须了解其并发症并妥善管理患者。
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