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单功能肾患者中孤立性右肾门肿块与肾血管及腔静脉严重粘连：一例报告。

Isolated right renal hilum mass with severe adhesion to the renal vessels and Vena Cava in a patient with single functioning kidney: A case report.

作者信息

Haghro Alireza Farshi, Masoomi Mehdi

机构信息

Urology Department, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Urol Case Rep. 2022 Apr 15;43:102089. doi: 10.1016/j.eucr.2022.102089. eCollection 2022 Jul.

DOI:10.1016/j.eucr.2022.102089
PMID:35520022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9062434/
Abstract

We report a case of a single kidney patient with an isolated renal hilum mass which is accompanied by severe vascular involvement. A 56-year-old woman with right flank pain was referred to our center. Ultrasound and CT scan showed a hypoechoic and solid mass in the right kidney pedicle. The renal mass biopsy showed a clear cell carcinoma. The patient was scheduled for surgery and the isolated mass was removed. To the best of our knowledge, this is the first case of renal hilum mass of Renal Cell Carcinoma (RCC) origin that had no connection to kidney parenchyma.

摘要

我们报告一例单肾患者，其孤立性肾门肿块伴有严重血管受累。一名56岁右侧腰痛女性被转诊至我院。超声和CT扫描显示右肾蒂有低回声实性肿块。肾肿块活检显示为透明细胞癌。患者计划接受手术，切除了孤立肿块。据我们所知，这是首例起源于肾细胞癌（RCC）且与肾实质无关联的肾门肿块病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e59/9062434/26f4dbd5efc3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e59/9062434/a81188f4b803/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e59/9062434/92399c43a87c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e59/9062434/26f4dbd5efc3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e59/9062434/a81188f4b803/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e59/9062434/92399c43a87c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e59/9062434/26f4dbd5efc3/gr3.jpg

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本文引用的文献

1
Prevalence and risk factors of myocardial and acute kidney injury following radical nephrectomy with vena cava thrombectomy: a retrospective cohort study.根治性肾切除术联合腔静脉取栓术后心肌和急性肾损伤的患病率及危险因素：一项回顾性队列研究。
BMC Anesthesiol. 2021 Oct 12;21(1):243. doi: 10.1186/s12871-021-01462-y.
2
Predictive factors for recurrence after complete metastasectomy in patients with metastatic renal cell carcinoma in the targeted therapy era.靶向治疗时代转移性肾细胞癌患者完全转移灶切除术后复发的预测因素。
Urol Oncol. 2020 May;38(5):515-520. doi: 10.1016/j.urolonc.2020.02.003. Epub 2020 Mar 4.
3
Epidemiology of Renal Cell Carcinoma.
肾细胞癌的流行病学。
Eur Urol. 2019 Jan;75(1):74-84. doi: 10.1016/j.eururo.2018.08.036. Epub 2018 Sep 19.
4
Renal cell carcinoma: links and risks.肾细胞癌：关联与风险。
Int J Nephrol Renovasc Dis. 2016 Mar 7;9:45-52. doi: 10.2147/IJNRD.S75916. eCollection 2016.