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体内巨瘤：一例罕见的双侧肾血管平滑肌脂肪瘤超过30厘米的病例

The giant within: A rare case of bilateral renal angiomyolipoma surpassing 30 cm.

作者信息

Ihssan Hadj Hsain, Salma Marrakchi, Lina Laasri, Chaima Lahlou, Joud Boutaleb, Jamal Fenni, Hassan Ennouali

机构信息

Department of Radiology, University Med V of Medicine and Pharmacy, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 Jan 30;20(4):2109-2115. doi: 10.1016/j.radcr.2024.10.138. eCollection 2025 Apr.

DOI:10.1016/j.radcr.2024.10.138
PMID:39944155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11821358/
Abstract

We report the case of a 36-year-old woman who presented with abdominal distension and abdominal pain. Clinical examination revealed a significant increase in abdominal volume. A comprehensive biological workup was performed, including blood tests and tumor markers, followed by an abdominal CT scan. The imaging revealed 1 large retroperitoneal masses. To establish a definitive diagnosis, an ultrasound-guided biopsy was conducted, In this review, we evaluate our case of angiomyolipoma against others that have been documented in the literature by comparing its dimensions, clinic, course of therapy, complications, and evolution.

摘要

我们报告了一例36岁女性患者，其表现为腹胀和腹痛。临床检查发现腹部容积显著增加。进行了全面的生物学检查，包括血液检查和肿瘤标志物检查，随后进行了腹部CT扫描。影像学检查发现1个大的腹膜后肿块。为明确诊断，进行了超声引导下活检。在本综述中，我们通过比较其大小、临床症状、治疗过程、并发症及病情发展，将我们的血管平滑肌脂肪瘤病例与文献中记载的其他病例进行评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/6415bdbb421d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/a00d4e5d95bd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/c972e28675f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/5ee490a1bf77/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/8a9755bc2e55/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/ce80f408aa4b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/6415bdbb421d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/a00d4e5d95bd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/c972e28675f5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/5ee490a1bf77/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/8a9755bc2e55/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/ce80f408aa4b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e2e/11821358/6415bdbb421d/gr6.jpg

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本文引用的文献

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Sporadic giant renal angiomyolipoma: A case report and literature review of clinical presentation, diagnosis, and treatment options.散发性巨大肾血管平滑肌脂肪瘤：一例报告及临床表现、诊断和治疗选择的文献综述
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Spontaneous rupture of a giant renal angiomyolipoma-Wunderlich's syndrome: Report of a case.巨大肾血管平滑肌脂肪瘤自发破裂——温德利希综合征：病例报告
Int J Surg Case Rep. 2016;19:140-3. doi: 10.1016/j.ijscr.2015.12.017. Epub 2015 Dec 17.
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Giant exophytic renal angiomyolipoma mimicking as retroperitoneal sarcoma; a case report with review of literature.酷似腹膜后肉瘤的巨大外生性肾血管平滑肌脂肪瘤：一例报告并文献复习
J Clin Diagn Res. 2015 Apr;9(4):XJ01-XJ02. doi: 10.7860/JCDR/2015/11514.5798. Epub 2015 Apr 1.
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Prevalence of sporadic renal angiomyolipoma: a retrospective analysis of 61,389 in- and out-patients.散发性肾血管平滑肌脂肪瘤的患病率：对61389例门诊和住院患者的回顾性分析
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Abdom Imaging. 2014 Jun;39(3):588-604. doi: 10.1007/s00261-014-0083-3.
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Treatment of angiomyolipoma at a tertiary care centre: the decision between surgery and angioembolization.三级医疗中心血管平滑肌脂肪瘤的治疗：手术与血管栓塞之间的抉择
Can Urol Assoc J. 2011 Dec;5(6):E138-41. doi: 10.5489/cuaj.10028. Epub 2011 Mar 1.
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Giant renal angiomyolipoma without fat density on CT scan: case report and review of the literature.CT扫描显示无脂肪密度的巨大肾血管平滑肌脂肪瘤：病例报告及文献复习
ScientificWorldJournal. 2010 Jul 7;10:1334-8. doi: 10.1100/tsw.2010.135.
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Emergency embolization of a bleeding renal angiomyolipoma using polyvinyl alcohol particles.使用聚乙烯醇颗粒对出血性肾血管平滑肌脂肪瘤进行急诊栓塞治疗。
Diagn Interv Radiol. 2007 Dec;13(4):213-6.
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Rapid growth of a kidney angiomyolipoma after initiation of oral contraceptive therapy.口服避孕药治疗开始后肾血管平滑肌脂肪瘤迅速生长。
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