Malone M J, Johnson P R, Jumper B M, Howard P J, Hopkins T B, Libertino J A
J Urol. 1986 Feb;135(2):349-53. doi: 10.1016/s0022-5347(17)45636-9.
We report 6 cases of renal angiomyolipomas and review the pertinent literature concerning this disease. One case involved the rare association of tuberous sclerosis and pregnancy. Another patient without tuberous sclerosis had renal cell carcinoma and later suffered a contralateral angiomyolipoma. The pathological conditions of renal angiomyolipomas with and without tuberous sclerosis are discussed. Since angiomyolipomas present with multiple clinical similarities to renal cell carcinoma, the primary task for the clinician is to differentiate this hamartoma from carcinoma. The distinguishing characteristics and the clinical management of renal angiomyolipomas are discussed.
我们报告6例肾血管平滑肌脂肪瘤,并回顾有关该疾病的相关文献。1例涉及结节性硬化症与妊娠的罕见关联。另1例无结节性硬化症的患者患有肾细胞癌,后来对侧出现血管平滑肌脂肪瘤。讨论了伴有和不伴有结节性硬化症的肾血管平滑肌脂肪瘤的病理情况。由于血管平滑肌脂肪瘤在临床上与肾细胞癌有多种相似之处,临床医生的首要任务是将这种错构瘤与癌区分开来。本文讨论了肾血管平滑肌脂肪瘤的鉴别特征及临床处理方法。