肾脏炎性假瘤1例误诊分析并文献复习  

Renal inflammatory pseudotumor was misdiagnosed as renal cell carcinoma: a case report

作　　者：管智慧 叶雄俊[2] 熊六林[2] 黄晓波[2] Guan Zhihui;Ye Xiongjun;Xiong Liulin;Huang Xiaobo(Department of Urology,Hulunbeier People' s Hospital,Hulunbeier,Inner Mongolia,021008,China;Department of Urology,Peking University People' s Hosiptial,Beijing,100034,China)

机构地区：[1]呼伦贝尔市人民医院泌尿外科,内蒙古呼伦贝尔021008 [2]北京大学人民医院泌尿外科,北京100034

出　　处：《当代医学》2019年第21期18-20,共3页Contemporary Medicine

摘　　要：目的探讨肾脏炎性假瘤(renal inflammatory pseudotumor,RIP)的诊治方法。方法回顾性分析1例肾脏炎性假瘤诊治经过,并结合文献就肾脏炎性假瘤的临床表现、影像学检查、术前穿刺病理进行讨论。结果根据临床表现、影像学检查、术前穿刺病理临床考虑肾癌可能性大,行肾根治性切除术后病理证实为炎性假瘤。结论肾脏炎性假瘤根据术前影像学资料明确诊断较为困难,应结合临床表现综合分析,尤其对瘤体内部液性区域穿刺抽吸有助于诊断。Objective To study the diagnosis of renal inflammatory pseudotumour. Methods 1 case of renal inflammatory pseudotumour was reported with review of the literature, discussed the diagnosis and therapy. Results The preoperative clinic diagnosis was renal cell carcinoma, and pathological examination of the nephrectomy specimen showed an inflammatory pseudotumor tumor. Conclusion As the preoperative definitive diagnosis of such a tumor is not possible, multi-points puncture of the tumor before the surgery is necessary to differential diagnosis, nephrectomy is a good way for renal inflammatory pseudotumors with abacess.

关 键 词：炎性假瘤 肾脏 病理 

分 类 号：R737.11[医药卫生—肿瘤]