肾盂血管瘤的诊治及临床分析  

Diagnosis and treatment of renal pelvis hemangioma and clinical analysis

作　　者：王文义 董玲芳 王旭辉[1] 孔朝辉[1] 单磊[1] 丁德刚[1] 孙斌[2] 雷红召[2] WANG Wenyi;DONG Lingfang;WANG Xuhui;KONG Zhaohui;SHAN Lei;DING Degang;SUN Bin;LEI Hongzhao(Department of Urology,Henan Provincial People's Hospital,Zhengzhou 450003,China;不详)

机构地区：[1]河南省人民医院泌尿外科,郑州450003 [2]河南省人民医院血管瘤科,郑州450003

出　　处：《现代泌尿生殖肿瘤杂志》2023年第1期11-14,共4页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨肾盂血管瘤的临床表现、影像学特征和治疗方式。方法回顾性分析我院2020年9月收治的1例经CT引导下肾穿刺活检病理确诊为肾盂血管瘤患者的临床资料。术后行病理免疫组化,并进行随访观察。结果患者穿刺活检病理结果示左肾盂见密集血管腔样结构及少量肾组织,结合免疫组化结果符合血管源性肿瘤特征,倾向毛细血管状血管瘤。定期随访至2022年8月,期间未发现肉眼血尿,实验室检查示尿潜血阴性,尿脱落细胞学未发现肿瘤细胞,影像学检查瘤体无明显增大。结论肾盂血管瘤虽临床罕见但其预后较好,该病需与肾盂癌相鉴别,临床以病理诊断为金标准,综合分析其临床特点和影像学特征,结合CT引导下穿刺活检及定期随访能减少临床上将其误诊为肾盂癌等恶性肿瘤的情况。Objective To investigate the clinical features,and treatment of renal pelvis hemangioma.Methods The clinical and imaging data of a patient with renal pelvis hemangioma admitted to our hospital in September 2020 were analyzed retrospectively.CT guided renal biopsy and pathological immunohistochemistry were performed,then the patient was followed up.Results The left renal pelvis puncture biopsy and postoperative pathological findings showed dense vascular cavity like structures and a small amount of renal tissue.Combined with the immunohistochemical results,it was consistent with the angiogenic tumor,and tended to be capillary hemangioma.During the regular follow-up to August 2022,no gross hematuria was found,or positive urine occult blood through the laboratory test.No tumor cells were found in urine exfoliative cytology,or obvious enlargement of the tumor through imaging examination.Conclusions Hemangioma of the renal pelvis is rare clinically,and the prognosis is good.The disease is often differentiated from renal pelvis cancer.Pathology is the gold standard for diagnosis.Comprehensive analysis of its clinical characteristics,imaging characteristics,combined with CT guided puncture biopsy and regular follow-up can reduce its misdiagnosis as renal pelvis cancer or other malignant tumors.

关 键 词：肾盂血管瘤 CT引导下穿刺 集合系统 误诊 随访 

分 类 号：R737.11[医药卫生—肿瘤]