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[累及肾脏的淋巴管平滑肌瘤病:一例报告]

[Lymphangiomyomatosis involving the kidney: a case report].

作者信息

Saegusa M, Sakuramoto K, Hashimoto H, Uno S, Aramaki K, Johsen T

机构信息

Department of Urology, Hiroshima City Hospital.

出版信息

Hinyokika Kiyo. 1993 Mar;39(3):249-52.

PMID:8506796
Abstract

A 58-year-old female was admitted with a chief complaint of gross hematuria. A diagnosis of carcinoma of the left kidney with lymphnode metastasis was made on the basis of computerized tomography and angiography. Left nephrectomy and lymphnode dissection were performed. Histological examination revealed lymphangiomyoma, and the final clinical diagnosis was changed to lymphangiomyomatosis with pulmonary, retroperitoneal, and left renal lesions. Lymphangiomyomatosis with renal lesions is extremely rare, and differentiation from renal carcinoma is important, though difficult.

摘要

一名58岁女性因肉眼血尿为主诉入院。根据计算机断层扫描和血管造影结果诊断为左肾癌伴淋巴结转移。行左肾切除术和淋巴结清扫术。组织学检查显示为淋巴管肌瘤,最终临床诊断改为伴有肺部、腹膜后和左肾病变的淋巴管平滑肌瘤病。伴有肾病变的淋巴管平滑肌瘤病极为罕见,与肾癌的鉴别很重要,尽管也很困难。

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