同一腎に腎細胞癌と腎血管筋脂肪腫を合併した1例
| Autor: | TSUBONIWA, Naoki, MEGURO, Norio, NAKAMURA, Yoshihiro, MAEDA, Osamu, SAIKI, Shigeru, KINOUCHI, Toshiaki, KURODA, Masao, MIKI, Tsuneharu, USAMI, Michiyuki, KOTAKE, Toshihiko |
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| Jazyk: | angličtina |
| Rok vydání: | 1997 |
| Předmět: | |
| Zdroj: | 泌尿器科紀要. 43(2):131-135 |
| ISSN: | 0018-1994 |
| Popis: | 結節性硬化症の合併は認めない.腹部超音波検査にて, 右腎の中部外側に高エコーを呈する腫瘤を, 下極付近に前者よりも更に高エコーを呈する腫瘤と指摘され当科受診.CT, MRI, 血管造影にて, 右腎中部外側の腫瘤は腎細胞癌と術前診断された.1990年3月経腹膜的根治的右腎摘除術を施行, 中部外側の腫瘍は腎細胞癌, alveolar type, common type, clear cell subtype, G1と, 下極付近の腫瘍は腎血管筋脂肪腫と病理診断された.術後経過は良好で, 術後61ヵ月再発転移を認めない Coexistence of renal cell carcinoma and angiomyolipoma in the same kidney is rare. A 54-year-old woman without tuberous sclerosis was admitted for further examination of incidental renal masses on ultrasonography. Computerized tomography revealed a 17-mm high density mass in the mediolateral portion of the right kidney and a 5-mm low density mass near the right lower pole. Because the former mass showed a typical tumor pattern on selective renal angiography and the latter mass was strongly hyperechoic on ultrasonography, a clinical diagnosis of renal cell carcinoma and angiomyolipoma was made. A right radical nephrectomy confirmed the preoperative diagnosis. She has been followed for 61 months with no recurrence. |
| Databáze: | OpenAIRE |
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