摘要
目的探讨肾上皮样血管平滑肌脂肪瘤(EAML)的有效诊断方法。方法对1例肾EAML患者的临床资料、影像学及病理检查结果作回顾性分析。结果患者主诉为右侧腰部胀痛3 d,查体及心电图、X线、血常规等检查均无异常发现,腹部CT检查提示右肾肿块,全麻下行开放性右肾根治性切除术,切除肿瘤经术后病理检查诊断为右肾EAML。结论肾EAML缺乏特异性的临床表现,影像学检查与其他肾肿瘤难以鉴别,确诊需要依靠病理形态学检查结合免疫组化染色检查。
Objective To explore the effective diagnostic method of renal epithelioid angiomyolipomas( EAML).Methods The clinical data,imaging examination and pathologic features of 1 case of renal EAML were retrospectively analyzed. Results The patient complained of right lower back pain for 3 days,and the physical examination,electrocardiogram,X-ray,blood routine were normal. Abdominal computed tomography revealed a right renal mass;the radical resection of the right kidney tumor was done under general anesthesia,and the postoperative pathological diagnosis of right kidney was EAML. Conclusions The disease lacks of specificity of clinical manifestations,and the imaging findings with other renal tumor are difficult to identify. Pathology and immunohistochemistry are important to confirm the diagnosis.
作者
叶入裴
廖烨晖
夏天
冯晓兰
黄娟
龙汉安
肖秀丽
YE Rupei;LIAO Yehui;XIA Tian;FENG Xiaolan;HUANG Juan;LONG Hanan;XIAO Xiuli(The Affiliated Hospital of Southwest Medical University, Luzhou 646000, China)
出处
《山东医药》
CAS
2019年第12期69-71,共3页
Shandong Medical Journal
基金
四川省科学技术专项资金计划项目(2013LYLZ-J28)
泸州市人民政府-四川医科大学科技战略合作项目(2015L ZCYD-S02)
西南医科大学青年基金项目(2017-ZRQN-152)