Ito N, Shrestha G R, Nakamura T, Ichikawa Y, Matsuda M
Department of Urology, Osaka Seamen's Insurance Hospital.
Hinyokika Kiyo. 1987 May;33(5):743-6.
A 62-year-old woman with renal angiomyolipoma is reported. Ultrasonogram revealed a hyperechoic renal mass and computed tomography showed a fatty density area in the tumor. Preoperative diagnosis of renal angiomyolipoma was made and was confirmed by frozen section during the operation. Partial nephrectomy was performed subsequently. Renal angiomyolipoma is known by its fat content causing high echogenicity in the ultrasonogram and fatty density area in computed tomography. Renal angiomyolipoma, therefore, could be suspected by this combination of findings and conservative surgery should be planned preoperatively.
报告了一名62岁患有肾血管平滑肌脂肪瘤的女性。超声检查显示肾内有高回声肿块,计算机断层扫描显示肿瘤内有脂肪密度区域。术前诊断为肾血管平滑肌脂肪瘤,并在手术中通过冰冻切片得以证实。随后进行了部分肾切除术。肾血管平滑肌脂肪瘤因其脂肪成分在超声检查中表现为高回声,在计算机断层扫描中表现为脂肪密度区域而为人所知。因此,通过这种综合表现可怀疑为肾血管平滑肌脂肪瘤,术前应规划保守手术。