Heckl W, Osterhage H R, Frohmüller H G
Urol Int. 1987;42(3):201-6. doi: 10.1159/000281896.
Fifteen cases of renal angiomyolipoma not associated with tuberous sclerosis are presented. The clinical and radiological features, the pathology and the management of these rare but well-documented tumors are discussed. They pose problems in diagnosis, and controversy still exists regarding their management. Additional techniques such as ultrasonography and computerized tomography may help in the diagnosis. When conservative surgery is not possible, or when a solid tumor cannot be confidently excluded, nephrectomy should be performed.
本文报告了15例不伴有结节性硬化症的肾血管平滑肌脂肪瘤。讨论了这些罕见但有充分文献记载的肿瘤的临床和放射学特征、病理及治疗方法。它们在诊断上存在问题,关于其治疗仍存在争议。超声检查和计算机断层扫描等辅助技术可能有助于诊断。当无法进行保守手术,或不能确定排除实性肿瘤时,应行肾切除术。