原发性肾血管肉瘤一例报告并文献复习  

Case report of renal angiosarcoma and review of the literature

作　　者：周祥福[1] 周琦[1] 张涛[2] 王林[1] 湛海伦[1] 

机构地区：[1]中山大学附属第三医院泌尿外科,广州510630 [2]广东省东莞市厚街医院泌尿外科,东莞523945

出　　处：《中华腔镜泌尿外科杂志（电子版）》2009年第5期15-19,共5页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨原发性肾血管肉瘤的临床特点、治疗及预后。方法回顾分析1例经病理证实的原发性肾血管肉瘤病例临床资料,结合国内外相关文献对本病进行讨论。结果患者在全麻下行腹腔镜左肾肿瘤根治性切除,术后病理检查证实为肾血管肉瘤,随访至今15个月,肿瘤未复发。结论原发性肾血管肉瘤早期症状不明显,影像学检查对本病的诊断有一定价值,确诊主要依靠病理及免疫组织化学检查。一旦怀疑本病应早期采取手术切除治疗。Objective To investigate the clinical characteristics, treatment and prognosis of primary renal angiosarcoma. Methods The clinical data of one case of primary renal angiosarcoma which was proved by pathology was retrospectively analysed, combing with related literatures to explore the disease. Results The patient was underwent retroperitoneoscopic left radical nephrectomy under general anesthesia, and renal angiosarcoma was confirmed by histopathology after operation, and the tumor had not recurred during the follow-up period of 15 months. Conclusions Early symptoms of primary renal angiosarcoma was not obvious. Imaging data are benificial in diagnosis, and the final diagnosis largely depends on the findings of pathology and immunohistochemistry. If there is a suspicion of this disease, surgical removal of the kidney should be preformed early.

关 键 词：原发性 血管肉瘤 肾 

分 类 号：R737.11[医药卫生—肿瘤] R734.2[医药卫生—临床医学]