Weiss H, Alken P, Wehner H, Schilp M
Medizinische Klinik, St. Marienkrankenhaus Ludwigshafen.
Ultraschall Med. 1993 Jun;14(3):112-6. doi: 10.1055/s-2007-1005229.
An angiomyolipoma is now mostly diagnosed by sonography due to sonographically typical criteria, such as abundant echoes and clear delineation, or via CT, since it is a process rich in fat and hence hypodense. Laying bare by surgery will only be required in case of an atypical localisation or expansive tumour growth. Two case reports are presented with ipsilateral lymph node infiltration in multifocal angiomyolipoma and expansion of the tumour into the vena cava via the renal vein.
由于超声检查具有典型的特征,如丰富的回声和清晰的边界,血管平滑肌脂肪瘤目前大多通过超声检查来诊断,或者通过CT诊断,因为它富含脂肪,因此密度较低。只有在非典型定位或肿瘤呈浸润性生长的情况下才需要手术切除。本文报告两例多灶性血管平滑肌脂肪瘤同侧淋巴结浸润及肿瘤经肾静脉扩展至腔静脉的病例。