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目的:探讨肾肌周细胞瘤的临床病理特点及诊疗方法。方法:回顾性分析1例罕见肾肌周细胞瘤的临床表现、影像学及术后病理学资料,并结合相关文献,总结其临床表现、病理特征及诊疗方法。结果:肾肌周细胞瘤无典型临床表现,彩超和CT检查缺乏特异性。患者行后腹腔镜左肾部分切除术,病理检查报告为肌周细胞瘤。免疫组织化学检查显示SMA+,Vim+,CD34+。术后随访25个月未见肿瘤复发和转移。结论:肾肌周细胞瘤为极其罕见的良性肿瘤,不易复发和转移;诊断主要依靠病理检查;手术切除肿瘤是目前唯一有效的治疗方法。
Objective: To investigate the clinicopathological features and diagnosis and treatment of nephroblastoma. Methods: The clinical manifestations, imaging and postoperative pathological data of one case of rare type myperydenoma were retrospectively analyzed. The clinical manifestations, pathological features and diagnosis and treatment methods were summarized in the literature. Results: There was no typical clinical manifestations of renal cell myelocytoma, color Doppler ultrasound and CT examination of the lack of specificity. The patients underwent laparoscopic left renal partial resection and the pathological examination was reported as pericytes. Immunohistochemistry showed SMA +, Vim +, CD34 +. No tumor recurrence and metastasis were observed after 25 months of follow-up. Conclusion: MM is an extremely rare benign tumor, which is not easy to recur and metastasis. The diagnosis mainly depends on the pathological examination. Surgical resection of the tumor is the only effective treatment.