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肾血管平滑肌脂肪瘤的诊断与管理

Diagnosis and management of renal angiomyolipoma.

作者信息

Pode D, Meretik S, Shapiro A, Caine M

出版信息

Urology. 1985 May;25(5):461-7. doi: 10.1016/0090-4295(85)90451-0.

DOI:10.1016/0090-4295(85)90451-0
PMID:3887727
Abstract

Renal angiomyolipoma (hamartoma) is an uncommon benign tumor of the kidney. Although about 400 cases of renal angiomyolipoma have been reported, it still causes difficulties in diagnosis and treatment. Until a few years ago it was almost impossible to arrive at a correct diagnosis preoperatively, and most of the cases underwent nephrectomy with the wrong diagnosis of renal carcinoma. More recently, abdominal computerized tomography and renal sonography have made it possible to reach the correct preoperative diagnosis in many cases, and thus to avoid unnecessary nephrectomies. We report on our experience with 13 cases of renal angiomyolipoma, and our conservative approach in a number of cases, which has enabled us to preserve renal tissue and function.

摘要

肾血管平滑肌脂肪瘤(错构瘤)是一种罕见的肾脏良性肿瘤。尽管已报道了约400例肾血管平滑肌脂肪瘤,但它在诊断和治疗上仍存在困难。直到几年前,术前几乎不可能做出正确诊断,大多数病例在被误诊为肾癌的情况下接受了肾切除术。最近,腹部计算机断层扫描和肾脏超声检查使许多病例能够在术前做出正确诊断,从而避免了不必要的肾切除术。我们报告了13例肾血管平滑肌脂肪瘤的治疗经验,以及我们在一些病例中采取的保守方法,这些方法使我们能够保留肾组织和肾功能。

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1
Diagnosis and management of renal angiomyolipoma.肾血管平滑肌脂肪瘤的诊断与管理
Urology. 1985 May;25(5):461-7. doi: 10.1016/0090-4295(85)90451-0.
2
Angiomyolipoma of the kidney: a clinical enigma in diagnosis and management.肾血管平滑肌脂肪瘤:诊断与管理中的临床难题。
Ann R Coll Surg Engl. 1992 Mar;74(2):144-8.
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Diagnosis and treatment of renal angiomyolipoma (based on 15 cases).肾血管平滑肌脂肪瘤的诊断与治疗(基于15例病例)
Urol Int. 1987;42(3):201-6. doi: 10.1159/000281896.
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Renal angiomyolipoma: report of 24 cases.肾血管平滑肌脂肪瘤:24例报告。
Br J Urol. 1990 Dec;66(6):585-9. doi: 10.1111/j.1464-410x.1990.tb07187.x.
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Diagnosis and treatment of renal angiomyolipoma.肾血管平滑肌脂肪瘤的诊断与治疗。
Scand J Urol Nephrol. 1986;20(4):289-94. doi: 10.3109/00365598609024514.
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Angiomyolipoma (hamartoma) of the kidney: a preoperative diagnosis is possible in virtually every case.肾血管平滑肌脂肪瘤(错构瘤):几乎在所有病例中都有可能进行术前诊断。
Urol Radiol. 1981;3(3):135-42. doi: 10.1007/BF02938781.
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Renal angiomyolipoma: diagnosis and management.肾血管平滑肌脂肪瘤:诊断与管理
Urology. 1980 Jan;15(1):1-5. doi: 10.1016/0090-4295(80)90529-4.
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Angiomyolipoma: clinical metamorphosis and concepts for management.肾血管平滑肌脂肪瘤:临床演变与管理理念
J Urol. 1988 Jan;139(1):20-4. doi: 10.1016/s0022-5347(17)42276-2.
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[Hemorrhagic complications revealing renal angiomyolipoma. Apropos of 2 cases].[出血性并发症揭示肾血管平滑肌脂肪瘤。附2例报告]
J Urol (Paris). 1992;98(3):175-7.
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[Renal angiomyolipoma: report of two cases (including a case with spontaneous rupture)].肾血管平滑肌脂肪瘤:两例报告(包括一例自发性破裂病例)
Hinyokika Kiyo. 1984 Dec;30(12):1813-25.

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Spontaneous rupture of renal angiomyolipoma: value of multidetector CT angiography for interventional therapy.肾血管平滑肌脂肪瘤自发性破裂:多排螺旋CT血管造影在介入治疗中的价值
Emerg Radiol. 2005 Dec;12(1-2):53-4. doi: 10.1007/s10140-005-0445-9. Epub 2005 Nov 30.
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Renal angiomyolipoma: a comparison of 5 cases diagnosed by CT scan.肾血管平滑肌脂肪瘤:5例经CT扫描诊断病例的比较
J R Soc Med. 1989 Jan;82(1):25-7. doi: 10.1177/014107688908200109.
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Angiomyolipoma of the kidney: a clinical enigma in diagnosis and management.肾血管平滑肌脂肪瘤:诊断与管理中的临床难题。
Ann R Coll Surg Engl. 1992 Mar;74(2):144-8.