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肾血管平滑肌脂肪瘤的诊断与治疗

[Diagnosis and treatment of renal angiomyolipoma].

作者信息

Iizuka N, Masuda F, Miki M, Ohishi Y, Nakada G, Onishi T, Mori Y, Suzuki M, Machida T

出版信息

Hinyokika Kiyo. 1985 Jul;31(7):1131-5.

PMID:3904362
Abstract

We have hitherto reported 6 cases of renal angiomyolipoma. Recently, we encountered two more such cases. Case 1 is a 34-year-old woman with fever as the chief complaint. DIP revealed a tumor mass in the right upper pelvic pole. This mass showed a strong echo level on ECHO and adipose tissue of low density on CT scan. Therefore, the patient was diagnosed as having renal angiomyolipoma. Since liposarcoma was not ruled out by the examination of frozen sections during operation, nephrectomy was performed. Case 2 is a 40-year-old woman. Diagnosed as having bilateral renal angiomyolipoma, she underwent right nephrectomy 14 years ago. Two years ago, she had heavy hematuria, and had embolization of the left renal artery. She has had no bleeding since the embolization. We are of the view that ECHO and CT can are very useful for diagnosis of renal angiomyolipoma, and embolization for heavy hematuria, a complication, should be performed first of all.

摘要

我们此前曾报告过6例肾血管平滑肌脂肪瘤。最近,我们又遇到了2例这样的病例。病例1是一名34岁女性,以发热为主诉。静脉肾盂造影显示右上肾盂极有一肿瘤块。该肿块在超声检查中显示为强回声水平,在CT扫描中为低密度脂肪组织。因此,该患者被诊断为肾血管平滑肌脂肪瘤。由于术中冰冻切片检查未排除脂肪肉瘤,故行肾切除术。病例2是一名40岁女性。她被诊断为双侧肾血管平滑肌脂肪瘤,14年前接受了右肾切除术。两年前,她出现大量血尿,并对左肾动脉进行了栓塞。自栓塞后她未再出血。我们认为,超声和CT对肾血管平滑肌脂肪瘤的诊断非常有用,对于大量血尿这一并发症,应首先进行栓塞治疗。

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