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肾上腺肿块中发生髓外造血的罕见病例。

A rare case of extramedullary hematopoiesis in adrenal mass.

作者信息

Kolev N H, Genov P P, Dunev V R, Stoykov B A

机构信息

Medical University Pleven, "Georgi Kochev"8A str, 5800, Bulgaria.

University of Ruse "Angel Kanchev" Ruse, 8 "Studentska" str, 7000, Bulgaria.

出版信息

Urol Case Rep. 2020 Jan 13;30:101120. doi: 10.1016/j.eucr.2020.101120. eCollection 2020 May.

Abstract

Extramedullary hematopoiesis (EMH) is a compensatory mechanism for deficient formation or function of red blood cells. Very rarely, extramedullary hematopoiesis is finding out in the kidneys as well as adrenals. We present a 50 year old man, who was admitted in the Urology Department with symptoms of renal colic. A contrast enhanced computed tomography (CT) of the abdomen and pelvis revealed right adrenal lesion of 80/79 mm in coronary size. The final diagnosis was myelolipoma of the right adrenal gland. We presented a rare case of adrenal tumor mass in patient without any haemotological disease that requires surgical excision.

摘要

髓外造血(EMH)是红细胞生成不足或功能缺陷的一种代偿机制。极罕见情况下,髓外造血可在肾脏及肾上腺中发现。我们报告一例50岁男性,因肾绞痛症状入住泌尿外科。腹部和盆腔的增强计算机断层扫描(CT)显示右肾上腺有一个冠状径为80/79毫米的病变。最终诊断为右肾上腺髓脂肪瘤。我们报告了一例在无任何血液系统疾病的患者中出现肾上腺肿瘤肿块的罕见病例,该病例需要手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9b/7005413/2535a85e6613/gr1.jpg

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