Maeda N, Iwasaki A, Mori Y, Ikoma F
Department of Urology, Hyogo College of Medicine.
Hinyokika Kiyo. 1993 Jun;39(6):557-9.
We report a case of cholesterin granuloma of the kidney masquerading as a renal tumor. A 59-year-old man with polycystic kidney disease had been on hemodialysis for 5 years when he developed asymptomatic gross hematuria. Ultrasonography and CT scanning showed a solid mass in the right kidney and nephrectomy was performed. The resected specimen was a 2.0 x 2.0 cm yellowish solid mass. Histological examination showed a granuloma containing numerous cholesterin crystals. A renal mass containing cholesterin crystals is very rare and only one case has been reported previously in Japan.
我们报告一例伪装成肾肿瘤的肾胆固醇肉芽肿病例。一名患有多囊肾病的59岁男性在接受血液透析5年后出现无症状肉眼血尿。超声检查和CT扫描显示右肾有一个实性肿块,遂行肾切除术。切除的标本是一个2.0×2.0厘米的淡黄色实性肿块。组织学检查显示一个含有大量胆固醇晶体的肉芽肿。含有胆固醇晶体的肾肿块非常罕见,此前在日本仅报道过一例。