El Matri A, Slim R, Hamida C, Chadli A, Ben Maiz H, Haddad S, Milliez P, Camilleri J P, Zmerli S, Ben Ayed H
Nouv Presse Med. 1980 Jan 12;9(3):157-9.
Eleven cases of hypertension secondary to a renal tumour secreting renin have been described in the literature between 1967 and 1978. The authors here report another case which presented with severe hypertension and a cerebrovascular accident in a 30-year-old woman. Intravenous urography and renal arteriography revealed a tumour of the upper pole of the left kidney. Estimation of renin levels in the renal veins demonstrated hypersecretion on the side of the tumour. Tumourectomy was followed by normalisation of blood pressure levels. Histological examination confirmed a diagnosis of a tumour of the juxtaglomerular apparatus.
1967年至1978年间,文献中已报道过11例由分泌肾素的肾肿瘤继发的高血压病例。本文作者报告了另一例病例,该病例为一名30岁女性,患有严重高血压并发生了脑血管意外。静脉肾盂造影和肾动脉造影显示左肾上极有一个肿瘤。对肾静脉中的肾素水平进行测定,结果表明肿瘤侧存在肾素分泌过多的情况。肿瘤切除术后,血压水平恢复正常。组织学检查证实诊断为球旁器肿瘤。