后肾腺瘤2例报告并文献复习

刘增钦; 杨江根; 肖克峰; 房杰群; 黄健生; 张忠

doi:10.13201/j.issn.1001-1420.2015.03.010

后肾腺瘤2例报告并文献复习

- 深圳市人民医院泌尿外科(广东深圳, 518000)

详细信息

通讯作者: 杨江根,E-mail:jianggeny@163.com

中图分类号: R737.11

收稿日期: 2014-08-08

Metanephric adenoma:report of two cases and review of literature

- Department of Urology, Shenzhen People's Hospital, Shenzhen, Guangdong, 518000, China

More Information

Corresponding author: YANG Jianggen, E-mail: jianggeny@163.com

Received Date: 08 August 2014

摘要

摘要: 目的:探讨后肾腺瘤(MA) 的临床表现、影像学及病理学特征,深化对其诊断与治疗的认识。方法:回顾性分析2例MA患者的临床资料,结合相关文献复习探讨MA的临床表现、影像学特征、病理结果、鉴别诊断、手术方法及预后。结果:2例患者术前诊断为肾肿瘤,1例行肾根治性切除术,1例行保留肾单位手术(NSS) ,术后病理检查均为MA。例1随访12个月,例2随访3个月,均未出现复发及转移。结论:MA是一种罕见的肾脏上皮组织良性肿瘤,常误诊为肾癌,术前增强CT对诊断有帮助,最终诊断往往需要依靠术后病理检查。因MA的良性生物学行为,NSS为其理想的治疗选择,但术后需要密切随访。
- 孤立肾 /
- 肾盂肿瘤 /
- 氩氦刀 /
- 冷冻消融术
Abstract: Objective:To explore the clinical, radiological and histopathological features of metanephric adenoma (MA), and deepen the knowledge of its diagnosis and treatment.Method:We retrospectively analyzed the clinical data of two cases of MA including clinical feature, radiological characteristics, histopathological features, differential diagnosis, surgical procedure and prognosis and reviewed the relative literature.Result:The preoperative diagnosis of the two patients were tumor of kidney. One patient underwent radical nephrectomy and the other received nephron-sparing surgery (NSS). The postoperative pathologic report of the two patients were both MA. No tumor recurrence or distant metastasis was found over the follow-up period of 3-12 months.Conclusion:MA is a rare benign renal neoplasm, but it is often misdiagnosed as renal carcinoma. Although CT imaging may be useful in diagnosis, final confirmation relys on postoperative pathologic report. NSS is the preferred choice for MA because of its benign biological behavior. However, a close follow-up is required.
- kidney neoplasm /
- metanephric adenoma /
- pathology /
- nephron-sparing surgery

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参考文献(24)

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