三维（3D）腹腔镜下保留肾单位治疗巨大囊性肾瘤：病例报告及文献综述
Three Dimensional (3D) Laparoscopic Nephron-sparing Treatment of a Huge Cystic Nephroma: A Case Report and Literature Review.
作者信息
Tsakiris Savvas, Zerva Maria, Paparidis Spyridon, Gasparos Fotis, Tzoras Aggelos, Samis Alexandros, Bouropoulos Constantinos, Ferakis Nikolaos
机构信息
Urology Department, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece.
出版信息
Cancer Diagn Progn. 2024 Jan 3;4(1):81-84. doi: 10.21873/cdp.10290. eCollection 2024 Jan-Feb.
BACKGROUND/AIM: Cystic nephroma (CN) is a very rare, benign, renal cystic lesion, which is characterized by a usually unilateral, multicystic kidney mass. In adults it is seen more frequently in females (1:8 male-to-female ratio). The peak incidence of CN is between 50 and 60 years of age. Median age at diagnosis is 55 years for females and 44 years for men and it is a rare entity in adults under 30 years of age.
CASE REPORT
We report the case of a 52-year-old female patient with chronic right-flank pain, who was treated at our hospital. A multiloculated 10×8.6 cm Bosniak IV renal cyst tumor was depicted on retroperitoneal computed tomography. After a three-dimensional laparoscopic partial nephrectomy, the histopathological specimen examination revealed: a multilocular cystic nephroma.
CONCLUSION
CNs are rare benign tumors that should be included in the differential diagnosis when treating large multiloculated complex renal cysts.
背景/目的：囊性肾瘤（CN）是一种非常罕见的良性肾囊性病变，其特征通常为单侧多囊性肾肿块。在成年人中，女性更为常见（男女比例为1:8）。CN的发病高峰在50至60岁之间。女性诊断时的中位年龄为55岁，男性为44岁，在30岁以下的成年人中是一种罕见的疾病。
病例报告
我们报告了一例52岁慢性右胁腹痛的女性患者，在我院接受治疗。腹膜后计算机断层扫描显示一个10×8.6 cm的博斯尼亚克IV级肾囊肿性肿瘤，呈多房性。三维腹腔镜下部分肾切除术后，组织病理学标本检查显示：多房性囊性肾瘤。
结论
CN是罕见的良性肿瘤，在治疗大型多房性复杂性肾囊肿时应列入鉴别诊断。
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