15岁时急性肾盂肾炎和肾包膜下血肿并发肾母细胞瘤
[Acute pyelonephritis and subcapsular hematoma revealing nephroblastoma at the age of 15 years].
作者信息
Tlili-Graiess K, Amara H, Gharbi-Jemni H, Bakir-Abassi D, Ben Ahmed S, el Kamel R, Korbi S, Mosbah F, Jeddi M
机构信息
Service de radiologie, CHU Sahloul, Sousse, Tunisie.
出版信息
Arch Pediatr. 1997 Sep;4(9):853-6. doi: 10.1016/s0929-693x(97)88153-5.
BACKGROUND
Nephroblastoma' the most common renal tumor in children between 1 and 5 years, occurs rarely in the oldest child.
CASE REPORT
A 16-year-old teenager suffered from acute pyelonephritis caused by Klebsiella pneumoniae. Renal ultrasonography showed a left subcapsular hematoma; the CT scan confirmed the finding and also showed renal scarring. However, a second CT scan showed pulmonary nodules suggestive of metastasis, a diagnosis that was confirmed by needle biopsy of pulmonary lesions. Recovery was obtained after chemotherapy and nephrectomy with a 3-year-follow-up.
CONCLUSION
This nephroblastoma was particular because its development in an adolescent, its association with acute pyelonephritis and subcapsular hemorrhage.
背景
肾母细胞瘤是1至5岁儿童最常见的肾脏肿瘤，在年龄最大的儿童中很少发生。
病例报告
一名16岁青少年患有由肺炎克雷伯菌引起的急性肾盂肾炎。肾脏超声检查显示左肾包膜下血肿；CT扫描证实了这一发现，还显示有肾瘢痕形成。然而，第二次CT扫描显示有提示转移的肺结节，经肺部病变穿刺活检证实了这一诊断。化疗和肾切除术后病情好转，并进行了3年随访。
结论
该肾母细胞瘤较为特殊，因为它发生在青少年身上，与急性肾盂肾炎及包膜下出血有关。
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