Song Hongyan, Nie Fang
Ultrasound Medical Center, The Second Hospital & Clinical Medical School, Lanzhou University, Cuiyingmen No. 82, Chengguan District, Lanzhou 730030, China.
Gansu Province Clinical Research Center for Ultrasonography, Cuiyingmen No. 82, Chengguan District, Lanzhou 730030, China.
Radiol Case Rep. 2025 Aug 5;20(10):5300-5305. doi: 10.1016/j.radcr.2025.07.030. eCollection 2025 Oct.
A 62-year-old male patient was admitted to our hospital due to abdominal pain. Imaging studies, including computed tomography (CT) and ultrasonography, revealed a space-occupying lesion in the left renal hilar region. Postoperative pathological examination confirmed the diagnosis of retroperitoneal leiomyosarcoma with renal involvement. This report details the clinical manifestations, imaging characteristics, histopathological findings, and therapeutic management of this case. Additionally, a literature review on retroperitoneal leiomyosarcoma is provided. The aim of this article is to enhance the diagnostic experience of clinicians, radiologists, and sonographers, thereby improving the preoperative diagnostic accuracy for retroperitoneal leiomyosarcoma.
一名62岁男性患者因腹痛入院。包括计算机断层扫描（CT）和超声检查在内的影像学研究显示左肾门区有占位性病变。术后病理检查确诊为累及肾脏的腹膜后平滑肌肉瘤。本报告详细介绍了该病例的临床表现、影像学特征、组织病理学发现及治疗方法。此外，还提供了腹膜后平滑肌肉瘤的文献综述。本文旨在提高临床医生、放射科医生和超声科医生的诊断经验，从而提高腹膜后平滑肌肉瘤的术前诊断准确性。
