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盏状憩室:一种推测为先天性起源的罕见实体的临床、放射学和组织病理学表现。

Calyceal diverticula: Clinical, radiological and histopathological findings of an uncommon entity with presumed congenital origin.

机构信息

Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Department of Pathology, The Ohio State University, Wexner Medical Center, Columbus, OH, USA.

出版信息

Ann Diagn Pathol. 2022 Jun;58:151932. doi: 10.1016/j.anndiagpath.2022.151932. Epub 2022 Mar 4.

DOI:10.1016/j.anndiagpath.2022.151932
PMID:35276547
Abstract

Calyceal diverticula (CD) are relatively uncommon urologic conditions that generally follow an asymptomatic course and rarely require medical intervention. CD are thought to have a congenital origin due to abnormalities during the process of ureteral bud formation. Clinically and radiologically, they can mimic multiple neoplastic and non-neoplastic renal processes, with potentially relevant differences in the management of these patients. Symptoms are usually associated with the presence of stones, obstruction to the drainage of the diverticulum, large size, or secondary infection. In chronic cases, surgery might become necessary, creating an opportunity to examine the histopathological characteristics of this condition. Although these are benign in the majority of patients, some rare instances of malignancy arising from the CD have been reported. In this series, we addressed the clinical, radiological, and histopathological findings of CD.

摘要

肾盏憩室(CD)是一种相对少见的泌尿系统疾病,通常呈无症状经过,很少需要医学干预。CD 被认为具有先天性起源,是由于输尿管芽形成过程中的异常所致。在临床上和影像学上,它们可以模拟多种肿瘤性和非肿瘤性的肾脏病变,这些患者的处理可能存在潜在的差异。症状通常与结石的存在、憩室引流受阻、憩室较大或继发感染有关。在慢性病例中,可能需要手术,这为检查这种疾病的组织病理学特征提供了机会。尽管在大多数患者中这些是良性的,但也有一些罕见的 CD 恶变的报道。在本系列中,我们探讨了 CD 的临床、影像学和组织病理学特征。

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1
Calyceal diverticula: Clinical, radiological and histopathological findings of an uncommon entity with presumed congenital origin.盏状憩室:一种推测为先天性起源的罕见实体的临床、放射学和组织病理学表现。
Ann Diagn Pathol. 2022 Jun;58:151932. doi: 10.1016/j.anndiagpath.2022.151932. Epub 2022 Mar 4.
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引用本文的文献

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Placement of ureteric stents to address postoperative urinary leakage in calyceal diverticulum with partially duplicated ureters resembling a renal cyst: A case report.放置输尿管支架治疗酷似肾囊肿的部分重复输尿管的肾盏憩室术后尿漏:一例报告。
Medicine (Baltimore). 2025 Aug 15;104(33):e43861. doi: 10.1097/MD.0000000000043861.
2
Prolonged postoperative urine leakage due to a calyceal diverticulum mimicking a renal cyst: A case report and literature review.因酷似肾囊肿的肾盏憩室导致的术后长期尿漏:一例报告及文献复习
Front Surg. 2022 Sep 7;9:967525. doi: 10.3389/fsurg.2022.967525. eCollection 2022.