Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
Medicine (Baltimore). 2024 Sep 13;103(37):e39631. doi: 10.1097/MD.0000000000039631.
The different variants of renal angiomyolipoma pose diagnostic and therapeutic challenges in clinical practice. We report a rare case of renal solid-cystic angiomyolipoma, with the aim of offering new insights into the preoperative imaging assessment of renal masses.
A 72-year-old female was admitted to our hospital because of a solid-cystic mass discovered in her right kidney during an abdominal computed tomography scan at another hospital. Her medical history includes a 5-year history of hypertension treated with medication, as well as hepatic cysts and bilateral renal cysts.
The postoperative pathological diagnosis is renal solid-cystic angiomyolipoma.
The solid-cystic mass in the right kidney was surgically removed via laparoscopic partial nephrectomy under general anesthesia.
The patient had an uneventful recovery and was discharged on the second postoperative day without complications.
Renal angiomyolipoma is usually easily distinguishable on imaging, but this case aims to alert clinicians to differentiate the rare variants of renal angiomyolipoma from other renal tumors. In the future, more cases are needed to summarize the characteristics of different variants of renal angiomyolipoma.
肾血管平滑肌脂肪瘤的不同变体在临床实践中带来了诊断和治疗方面的挑战。我们报告了一例罕见的肾实性囊性血管平滑肌脂肪瘤病例，旨在为肾脏肿块的术前影像学评估提供新的见解。
一名 72 岁女性因在另一家医院进行腹部 CT 扫描时发现右肾实性囊性肿块而被收入我院。她的病史包括 5 年的高血压病史，接受药物治疗，以及肝囊肿和双侧肾囊肿。
术后病理诊断为肾实性囊性血管平滑肌脂肪瘤。
全身麻醉下经腹腔镜行右肾部分切除术切除实性囊性肿块。
患者术后恢复顺利，无并发症，术后第 2 天出院。
肾血管平滑肌脂肪瘤通常在影像学上很容易识别，但本例旨在提醒临床医生区分罕见的肾血管平滑肌脂肪瘤变体与其他肾肿瘤。未来需要更多的病例来总结不同类型肾血管平滑肌脂肪瘤的特征。
