Ueda Takashi, Morinaga Yukiko, Inoue Kai, Hirano Sojiro, Matsubara Hiroki, Hongo Fumiya
Department of Urology Kyoto Prefectural University of Medicine Kyoto-City Kyoto Japan.
Department of Pathology Kyoto Prefectural University of Medicine Kyoto-City Kyoto Japan.
IJU Case Rep. 2021 Apr 7;4(4):207-209. doi: 10.1002/iju5.12283. eCollection 2021 Jul.
Diagnosis of small renal tumor from imaging analysis is limited. We report a case of juxtaglomerular cell tumor diagnosed preoperatively by renal tumor biopsy.
A 17-year-old male was urgently hospitalized for acute-onset congestive heart failure. Radiographic findings revealed a 2-cm mass lesion, and on renal biopsy, a juxtaglomerular cell tumor was suspected. The juxtaglomerular cell tumor was resected by laparoscopic partial nephrectomy, on suspicion of causing the heart failure. The patient's clinical symptoms improved drastically postoperatively.
Biopsy may be a promising option for preoperative diagnosis of juxtaglomerular cell tumors.
通过影像学分析诊断小肾肿瘤存在局限性。我们报告一例经肾肿瘤活检术前诊断为肾小球旁细胞瘤的病例。
一名17岁男性因急性充血性心力衰竭紧急住院。影像学检查发现一个2厘米的肿块病变,肾活检怀疑为肾小球旁细胞瘤。因怀疑该肾小球旁细胞瘤导致心力衰竭,遂通过腹腔镜部分肾切除术将其切除。术后患者的临床症状大幅改善。
活检可能是术前诊断肾小球旁细胞瘤的一个有前景的选择。