移植肾平滑肌瘤1例

Leiomyoma in renal allograft in one case

背景:移植肾平滑肌瘤的发生将对移植肾有不同程度的影响,甚至威胁移植肾的长期存活。目的:报告1例移植肾平滑肌瘤的诊治经验。方法:回顾性分析1例患者为男性,53岁,11年前因"尿毒症"在外院行右同种异体肾移植,移植后肾功能恢复正常,长期口服免疫抑制剂抗排斥治疗,患者的临床资料。结果与结论:移植肾平滑肌瘤确诊主要依靠病理检查,影像学无明显特异性。移植肾平滑肌瘤的治疗以单纯手术切除肿瘤为主。

BACKGROUND： Leiomyoma in renal allograft would influence the renal allograft to different extents and even threaten the long-term survival of renal allograft. OBJECTIVE： To summarize the diagnosis and treatment experience of leiomyoma in renal allograft from one case. METHODS： To retrospectively analyze one 53-year-old male case. The case received renal allograft in other hospitals because of uremia 11 years ago. After surgery, renal function recovered to normal, and he orally took immunosuppressive agent for long term. The clinical data of this case were analyzed. RESULTS AND CONCLUSION： The leiomyoma in renal allograft was diagnosed primarily according to pathological examination, and imaging examination had no obvious specificity. Simple surgical resection of tumor body is the primary means for treatment of leiomyoma in renal allograft.