Treatment of fat-poor renal angiomyolipoma with ectopic blood supply by fluorescent laparoscopy:A case report and review of literature  

作　　者：Jian-Er Tang Rong-Jiang Wang Zhi-Hai Fang Ping-Ya Zhu Jian-Xiang Yao Hua Yang 

机构地区：[1]Department of Urology,First Affiliated Hospital of Huzhou Normal College,Huzhou 313000,Zhejiang Province,China [2]Department of Andrology,Huzhou Women and Children's Hospital,Huzhou 313000,Zhejiang Province,China

出　　处：《World Journal of Clinical Oncology》2024年第11期1435-1443,共9页世界临床肿瘤学杂志（英文）

摘　　要：BACKGROUND Renal angiomyolipoma and renal cell carcinoma are the most common benign and malignant tumors of the kidney respectively,and the preoperative differential diagnosis is crucial due to the wide difference in treatment methods.Fat-poor renal angiomyolipoma is a relatively rare type of in renal angiomyolipoma.Its fat imaging features are not obvious,and it is easily misdiagnosed as renal cell carcinoma.CASE SUMMARY We report the case of a 41-year-old man who complained of osphyalgia.Subsequent abdominal computed tomography scans revealed that a heterogeneous mass was seen in the lower pole of the right kidney,with the size of about 53 mm×47 mm.And showed two right renal arteries,with the mass supplied by an ectopic vessel from the abdominal aorta.Fluorescent laparoscopic blockade of the right renal heterotopic artery and partial nephrectomy was performed.Based on histological and immunohistochemical findings,the tumor was diagnosed as fatpoor renal angiomyolipoma.CONCLUSION The use of fluorescent laparoscopy can effectively help intraoperative management,and the fluorescence pattern provided by intravenous indocyanine green can help suggest the final diagnosis,effectively guide the surgical decisionmaking,and avoid preoperative imaging diagnosis leading to nephrectomy for benign renal tumors,through fluorescent navigation of tumor supply vessel precise block,minimize the loss of renal function.

关 键 词：Renal angiomyolipoma Renal cell carcinoma Ectopic blood supply luorescent laparoscopic Partial nephrectom Case report 

分 类 号：R737.11[医药卫生—肿瘤]