肾错构瘤的误诊分析及治疗  

Causes of misdiagnosis of renal angiomyolipoma and treatment

作　　者：叶和松[1] 周小庆[1] 王守学[1] 周东[1] 蓝伟峰[1] 

机构地区：[1]浙江省丽水市人民医院泌尿外科,浙江丽水323000

出　　处：《安徽医药》2008年第4期333-334,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨肾错构瘤误诊的原因,提高肾错构瘤诊治水平。方法回顾性分析7例不典型肾错构瘤的临床和影像学资料,并与病理结果对照。结果7例患者术前影像学检查均诊断为肾癌,但术中冰冻活检及术后病理证实为肾血管平滑肌脂肪瘤。结论影像学检查对脂肪成分少的肾错构瘤与肾癌的鉴别诊断仍有困难,术中冰冻活检对明确诊断和指导治疗有决定性的意义。Aim To study the causes of misdiagnosis of renal angiomyolipoma （RAML） and improve the diagnosis and treatment ot RAML. Methods The clinical and imaging data of 7 cases of atypical RAML were analyzed retrospectively and compared with pathological results. Results All of the 7 cases of atypical RAML had been misdiagnosed preoperatively but were confirmed with intraoperative frozen section and pathological results. Conclusion Because of the absence of fat, the atypical RAML was misdiagnosed easily with imaging material. Intraoperative frozen section study has important clinical significance for guiding the diagnosis and treatment.

关 键 词：肾肿瘤 错构瘤 诊断 治疗 

分 类 号：R737.11[医药卫生—肿瘤] R542.22[医药卫生—临床医学]