疑似肾肿瘤的肾脏交织状血管瘤1例报告并文献复习  

Renal anastomosing hemangioma mimicking renal tumor:a case report and literature review

作　　者：陈志刚[1] 纪志刚[1] 石冰冰[1] 张学斌[1] 王清海[1] 樊华[1] 李汉忠[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院泌尿外科,北京100730

出　　处：《临床泌尿外科杂志》2015年第6期492-494,共3页Journal of Clinical Urology

摘　　要：目的:探讨肾脏交织状血管瘤的临床特点、诊断和治疗。方法:回顾性分析1例右肾交织状血管瘤患者的临床资料并复习相关文献,总结诊疗经验。患者,男,48岁,因体检发现右肾占位5个月入院。专科查体无异常;实验室检查正常;CTU示右肾中下部可见类圆形稍低密度影,内见点状致密结节影,最大截面积3.9cm×3.1cm,增强扫描呈斑片样不均匀明显强化,内见不规则无明显强化区,提示恶性病变可能性大。结果:患者入院后完善相关检查,结合影像资料,考虑肾恶性肿瘤可能大,在全麻下行右肾部分切除术,术后1周顺利出院,术后病理回报为右肾交织状血管瘤。结论:肾脏交织状血管瘤是一种良性病变,临床罕见,诊断主要依赖术后病理。由于无特异性临床表现,且影像学上常难以与肾脏恶性肿瘤区分,易导致过度诊断及治疗,因此应引起临床医生重视。Objective：To investigate clinical manifestations,diagnosis and treatment of the renal anastomosing hemangioma.Method：We retrospectively analyzed clinical data of one case of right renal anastomosing hemangioma,reviewed related literature and summarized the experience of diagnosis and treatment.A 48-year-old male was admitted in our hospital due to space-occupying lesion of the right kidney found by check-up for five months.The physical and laboratory examination were normal.CTU revealed a class round and low density shadow on the middle and lower pole of the right kidney with dot density nodules in it.The maximum cross-sectional area was 3.9cm×3.1cm.In enhanced scan,patchy,uneven and obvious enhancement can be seen,with no obvious reinforcement region existed.And it revealed that it may be malignant lesions.Result：After admission,the patient was performed relevant examination.According to the imaging data,malignant tumor of the right kidney was suspected.Then the patient underwent partial nephrectomy of the right kidney under general anesthesia,and was discharged a week later.The result of postoperative pathology was anastomosing hemangioma.Conclusion：Renal anastomosing hemangioma is a rare benign lesion.Its diagnosis relies mainly on postoperattive pathology.Due to no specific clinical manifestations,it is difficult to differentiate from the kidney malignant tumor.Since over-diagnosed and over-treated may occur,more attention should be focused on it.

关 键 词：交织状血管瘤 肾脏 血管病变 

分 类 号：R737.11[医药卫生—肿瘤]