【与结节性硬化症无关的肾脏巨大血管平滑肌脂肪瘤:1例报告及文献回顾】。

Chirurgia italiana Pub Date : 2009-07-01
Valerio Panizzo, Gloria Goi, Eliana Moroni, Giancarlo Micheletto, Barbara Bruni, Piergiorgio Danelli
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引用次数: 0

摘要

作者描述了一个典型的情况下,一个大的肾血管平滑肌脂肪瘤不相关的结节性硬化症。该病变是在腹部超声检查其他病理时偶然发现的。由于病变的程度和明显的自发性破裂和出血的风险,我们选择手术治疗。由于无法从右肾解剖血管平滑肌脂肪瘤,我们不得不行肾切除术。血管平滑肌脂肪瘤的临床意义在于其生长迅速,难以与恶性病变区分,与结节性硬化症有关,存在许多特定症状,难以建立正确的诊断和治疗策略。
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[Giant angiomyolipoma of the kidney not associated with tuberous sclerosis: a case report and review of the literature].

The authors describe a paradigmatic case of a large renal angiomyolipoma not associated with tuberous sclerosis. The lesion was discovered as an incidental finding during abdominal ultrasound for other pathology. Owing to the extent of the lesion and the appreciable risk of spontaneous rupture and bleeding, we opted for surgical treatment. The impossibility of dissecting the angiomyolipoma from the right kidney obliged us to perform a nephrectomy. The clinical interest of angiomyolipoma is in its rapid growth, the difficulty of distinguishing it from malignant lesions, the association with tuberous sclerosis, the presence of numerous aspecific symptoms and the difficulty of establishing the correct diagnosis and treatment strategy.

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