肾细胞癌合并肾错构瘤一例误诊报告并文献复习
摘要
<正>1病例介绍男,42岁,因查体发现右肾占位性病变7d于2006年12月26日入院。查体:血压110/70mm Hg,心率84次/分,双肾区无压痛、叩痛,耻骨上膀胱区无膨隆,有压痛。B超检查:右肾上级实质可见4.2×3.9cm较强回声结构,下极实质可见3.5×3.6cm实质性中等回声团块,周边可见血管环绕。CT检查提示右肾上极可见不规则低密度影,边界
引文
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[12]张广源,李志伟.小肾癌与肾血管平滑肌脂肪瘤的影像诊断[J].实用放射学杂志,2011,27(11):1703-1706.
[13]詹辉,王家平.肾动脉造影在小肾癌诊断中的应用价值[J].介入放射学杂志,2013,22(3):243-246.
[14]殷长军,吴宏飞.肾癌根治术369例临床分析[J].中华泌尿外科杂志,2002,23(7):392-394.
[15]UZZO RG,NOVICK AC.Neph ron sparing surgery for renal tumors:indict ions,techniques and outcomes[J].JUrol,2001,166(1):6-18.
[2]PATARD JJ,LERAY E,RODRIGUEZ A,et al.Correlation between symptom graduation,tumor characteristics and survival in renal cell carcinoma[J].Eur Urol,2003,44(2):226-232.
[3]WEIN AJ,KAVOUSSI LR,NOVICK AC.坎贝尔-沃尔什泌尿外科学[M].郭应禄,周利群译,北京:北京大学医学出版社,2009.
[4]PALAPATTU GS,KRISTO B,RAIFER J.Paraneoplastic syndromes in urologic malignancy:the many faces of renal cell carcinoma[J].Rev Urol,2002,4(4):163-170.
[5]SANT GR,HEANEY JA,UCCI AA JR,et al.Computed tomographic findings in renal angiomyolipoma:an histologic correlatian[J].Urol 1984,24(2):293-296.
[6]JINZAKI M,TANIMOTO A,MUKAI M,et al.Double-phase helical CTofsmall renal parenchymal neoplasms:correlation with pathologic findings and tumor angiogenesis[J].COMPUTASSIST TOMOGR,2000,24(6):835-842.
[7]方靓,陈林,陈悦,等.超声造影在肾细胞癌与肾血管平滑肌脂肪瘤鉴别诊断中的价值[J]诊断学理论与实践,2011,10(3):230-233.
[8]郝南馨,常时华,刘光华.肾癌的螺旋CT征象与病理对照研究[J].临床放射学杂志,2005,24(5):406-409.
[9]王霄英,梁姸.小肾癌的MR表现[J].中国医学影像技术,2004,20(8):1223-1225.
[10]OBUZ F,KARABAY N,SECIL M,et al.Various radiological appearances of angiomyolipomas in the same kidney[J].Eur Radiol,2000,10(6):879-899.
[11]周海英胡雅君.乏脂肪肾血管平滑肌脂肪瘤与肾细胞癌鉴别诊断中主要CT征象价值的系统评价[J].中国循证医学杂志,2009,9(6):640-645.
[12]张广源,李志伟.小肾癌与肾血管平滑肌脂肪瘤的影像诊断[J].实用放射学杂志,2011,27(11):1703-1706.
[13]詹辉,王家平.肾动脉造影在小肾癌诊断中的应用价值[J].介入放射学杂志,2013,22(3):243-246.
[14]殷长军,吴宏飞.肾癌根治术369例临床分析[J].中华泌尿外科杂志,2002,23(7):392-394.
[15]UZZO RG,NOVICK AC.Neph ron sparing surgery for renal tumors:indict ions,techniques and outcomes[J].JUrol,2001,166(1):6-18.