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原发性包虫囊肿形似肾细胞癌:病例报告

Primary hydatid cyst looked like renal cell carcinoma: case report.

作者信息

Mohamed Irzi, Tarik Mhanna, Mohammed Aynaou, Alaoui Wassim, Abdelghani Ouraghi, Ali Barki

机构信息

Department of Urology, Mohammed VI University Medical Center, Mohammed the First University Oujda, Morocco.

出版信息

J Surg Case Rep. 2020 Sep 5;2020(9):rjaa231. doi: 10.1093/jscr/rjaa231. eCollection 2020 Sep.

DOI:10.1093/jscr/rjaa231
PMID:32913625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7474540/
Abstract

Renal hydatid cyst is a rare disease comprising of about 2-3% of all locations. We present a case of renal hydatid disease in a 48-year-old female patient who presented with a history of left flank pain without fever or hematuria. Ultrasonography and computed tomography showed a 3-cm cystic lesion Bosniak IV occupying the mid-zone of the left kidney diagnosed as renal malignancy. Laparoscopic partial nephrectomy was performed, but the histopathological examination of the lesion revealed hydatid cysts. Isolated renal hydatid cyst is very rare, especially in developed countries and can be misdiagnosed as a renal cell carcinoma pre-operatively.

摘要

肾包虫囊肿是一种罕见疾病,约占所有发病部位的2%-3%。我们报告一例48岁女性肾包虫病病例,该患者有左侧腰痛病史,无发热或血尿。超声检查和计算机断层扫描显示左肾中部有一个3厘米的博斯尼亚克IV级囊性病变,诊断为肾恶性肿瘤。行腹腔镜部分肾切除术,但病变的组织病理学检查显示为包虫囊肿。孤立性肾包虫囊肿非常罕见,尤其是在发达国家,术前可能被误诊为肾细胞癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/2d113b0575f2/rjaa231f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/1df8c6c270a6/rjaa231f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/d5edb9db7368/rjaa231f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/52b412ef41b5/rjaa231f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/2d113b0575f2/rjaa231f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/1df8c6c270a6/rjaa231f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/d5edb9db7368/rjaa231f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/52b412ef41b5/rjaa231f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fede/7474540/2d113b0575f2/rjaa231f4.jpg

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本文引用的文献

1
Bosniak Classification of Cystic Renal Masses, Version 2019: An Update Proposal and Needs Assessment.Bosniak 分类法在囊性肾脏肿块中的应用(2019 年版):更新建议与需求评估。
Radiology. 2019 Aug;292(2):475-488. doi: 10.1148/radiol.2019182646. Epub 2019 Jun 18.
2
Isolated Renal Hydatid Cyst Misdiagnosed and Operated as a Cystic Renal Tumor.孤立性肾包虫囊肿被误诊并作为囊性肾肿瘤进行手术。
Med Princ Pract. 2018;27(3):297-300. doi: 10.1159/000488878. Epub 2018 Mar 29.
3
Beware! A simple renal cyst could be a hydatid cyst.注意!单纯性肾囊肿可能是包虫囊肿。
Urol Ann. 2017 Jul-Sep;9(3):281-284. doi: 10.4103/0974-7796.210028.
4
Presence of an Isolated Hydatid Cyst in the Left Kidney: Report of a Case of This Rare Condition Managed Surgically.左肾孤立性包虫囊肿一例:该罕见病例的手术治疗报告
Case Rep Urol. 2016;2016:6902082. doi: 10.1155/2016/6902082. Epub 2016 Jun 27.
5
Primary renal hydatid cyst: mis-interpretation as a renal malignancy.原发性肾包虫囊肿:误诊为肾恶性肿瘤。
Korean J Parasitol. 2014 Jun;52(3):295-8. doi: 10.3347/kjp.2014.52.3.295. Epub 2014 Jun 26.
6
Laparoscopic management of renal hydatid cyst.肾包虫囊肿的腹腔镜治疗
JSLS. 2014 Apr-Jun;18(2):361-6. doi: 10.4293/108680813X13753907291396.