肾门部异位肾上腺皮质肿瘤样增生合并血肿形成1例报道并文献复习  

Consideration and analysis of ectopic adrenocortical tumer-like hyperplasia in the renal hilum with hematoma

作　　者：徐鑫[1] 秦红云[2] 耿凛[1] 陈海昕[1] 张冠[1] XU Xin;QIN Hongyun;GENG Lin;CHEN Haixin;ZHANG Guan(Department of Urology, China-Japan Friendship Hospital, Beijing 100029, China)

机构地区：[1]中日友好医院泌尿外科,北京100029 [2]中日友好医院手术麻醉科,北京100029

出　　处：《现代泌尿生殖肿瘤杂志》2019年第4期219-222,共4页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的提高对肾门部异位肾上腺病变的认识和诊治能力。方法对收治的1例肾门部异位肾上腺病变患者的诊治经过进行回顾性分析,总结临床经验,并结合文献进行复习归纳,分析术前误诊原因。结果患者,女,68岁,因CT发现右肾门旁肿物入院,术前影像学检查不能排除恶性肿瘤,行开腹探查+肾门旁肿瘤切除术,术后病理及免疫组化考虑异位肾上腺皮质肿瘤样增生。经过3个月的术后随访,患者恢复顺利,无明显并发症。结论成人异位肾上腺病变临床少见,最终需病理确诊。肾门部异位肾上腺肿瘤或增生则更为罕见,一经发现,应予切除。Objective To improve the knowledge and management of ectopic adrenal mass in renal hilum. Methods The clinical date of a case of right ectopic adrenocortical tumer-like hyperplasia in the renal hilum with hematoma were reported and analyzed with related literature. Results One female case was reported. Imageing studies revealed a nodule near the right renal hilum and malignant tumors cannot be excluded. Postoperative pathological examination and immunohistochemical studiers revealed ectopic adrenocortical tumer-like hyperplasia. After 3 months follow-up, the patient recovered smoothly. Conclusions Ectopic adrenal mass isn’t common in adults clinically, and its final diagnosis relies on pathological data. Ectopic adrenal tumor or hyperplasia in the renal hilum is rare, which should be removed whenever it is encourtered.

关 键 词：肾门 异位肾上腺 血肿 

分 类 号：R736.6[医药卫生—肿瘤]