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多囊肾中的双侧血管平滑肌脂肪瘤和肾细胞癌

Bilateral angiomyolipomas and renal cell carcinoma in polycystic kidney.

作者信息

Barbour G L, Casali R E

出版信息

Urology. 1978 Dec;12(6):694-8. doi: 10.1016/0090-4295(78)90434-x.

DOI:10.1016/0090-4295(78)90434-x
PMID:741549
Abstract

A case is presented of a twenty-eight-year-old man in whom renal failure developed at age twenty-four from polycystic kidney disease known to be present since childhood. He also had cutaneous manifestations of the tuberous sclerosis complex. Intrarenal hemorrhage led to bilateral nephrectomy. Microscopic examination disclosed typical polycystic disease and multiple angiomyolipomas in each kidney. In addition several renal cell carcinomas of oncocytic, papillary, and clear cell type were found. Review of the literature disclosed the uncommon coexistence of any two of these lesions and did not uncover any reported case of the simultaneous existence of all three.

摘要

本文报告一例28岁男性患者,其在24岁时因自幼患有的多囊肾病发展为肾衰竭。他还患有结节性硬化症的皮肤表现。肾内出血导致双侧肾切除术。显微镜检查发现每个肾脏均有典型的多囊病和多个血管平滑肌脂肪瘤。此外,还发现了几例嗜酸细胞型、乳头型和透明细胞型肾细胞癌。文献回顾显示,这些病变中任意两种同时存在的情况并不常见,且未发现有报告同时存在所有三种病变的病例。

相似文献

1
Bilateral angiomyolipomas and renal cell carcinoma in polycystic kidney.多囊肾中的双侧血管平滑肌脂肪瘤和肾细胞癌
Urology. 1978 Dec;12(6):694-8. doi: 10.1016/0090-4295(78)90434-x.
2
Renal angiomyolipoma; polycystic kidney, and renal cell carcinoma in patient with tuberous sclerosis.结节性硬化症患者的肾血管平滑肌脂肪瘤、多囊肾和肾细胞癌。
Urology. 1979 Aug;14(2):174-6. doi: 10.1016/0090-4295(79)90153-5.
3
[Renal lesions in a case of tuberous sclerosis: association of angiomyolipoma, bilateral polycystic kidney and renal clear-cell carcinoma].[结节性硬化症一例的肾脏病变:血管平滑肌脂肪瘤、双侧多囊肾与肾透明细胞癌的关联]
Acta Biomed Ateneo Parmense. 1981;52(2-3):125-32.
4
Coincident renal cell carcinoma and renal angiomyolipoma in tuberous sclerosis.结节性硬化症合并肾细胞癌和肾血管平滑肌脂肪瘤。
AJR Am J Roentgenol. 1979 May;132(5):848-50. doi: 10.2214/ajr.132.5.848.
5
Tuberous sclerosis complex and renal angiomyolipoma. Collective review.结节性硬化症与肾血管平滑肌脂肪瘤。综述
Urology. 1975 Jul;6(1):105-13. doi: 10.1016/0090-4295(75)90607-x.
6
Angiomyolipomas and polycystic renal disease in tuberous sclerosis. Ultrastructural observations.结节性硬化症中的血管平滑肌脂肪瘤和多囊肾疾病。超微结构观察
Urology. 1981 Jun;17(6):607-10. doi: 10.1016/0090-4295(81)90089-3.
7
Re: Angiographic management of retroperitoneal hemorrhage from renal angiomyolipoma in polycystic kidney disease, and Re: Multiple renal neoplasms: a case of 3 histologically dissimilar primary tumors.回复:多囊肾疾病中肾血管平滑肌脂肪瘤所致腹膜后出血的血管造影处理,以及回复:多发性肾肿瘤:一例具有三种组织学不同原发性肿瘤的病例
J Urol. 1992 Apr;147(4):1118. doi: 10.1016/s0022-5347(17)37495-5.
8
[Renal cell carcinoma and angiomyolipoma in tuberous sclerosis. Case report].
Nihon Hinyokika Gakkai Zasshi. 1990 Feb;81(2):304-7. doi: 10.5980/jpnjurol1989.81.304.
9
Renal angiomyolipoma: a study of 13 cases.肾血管平滑肌脂肪瘤:13例病例研究。
J Urol. 1977 May;117(5):547-52. doi: 10.1016/s0022-5347(17)58532-8.
10
[Multiple bilateral angiomyolipomas of the kidneys in tuberous brain sclerosis in association with pleomorphous pheochromocytoma].
Fortschr Med. 1982 Oct 21;100(39):1809-12.

引用本文的文献

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The role of the Birt-Hogg-Dubé protein in mTOR activation and renal tumorigenesis.Birt-Hogg-Dubé蛋白在mTOR激活及肾肿瘤发生中的作用。
Oncogene. 2009 Apr 2;28(13):1594-604. doi: 10.1038/onc.2009.14. Epub 2009 Feb 23.
2
Renal cystic disease in the tuberous sclerosis complex.结节性硬化症中的肾囊性疾病。
Pediatr Nephrol. 1993 Aug;7(4):490-5. doi: 10.1007/BF00857581.
3
Epithelial hyperplasia in human polycystic kidney diseases. Its role in pathogenesis and risk of neoplasia.人类多囊肾病中的上皮增生。其在发病机制中的作用及肿瘤形成风险。
Am J Pathol. 1987 Oct;129(1):92-101.