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Giant Extrarenal Retroperitoneal Angiomyolipoma: A Case Report and Literature Review

巨大的腎臟外後腹腔血管平滑肌脂肪瘤:病例報告

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摘要


腎臟外的血管平滑肌脂肪瘤並不多見,在這類病例中源於後腹腔的更是稀少。我們報告一個巨大的腎臟外後腹腔血管平滑肌脂肪瘤(擬似脂肪肉瘤)病例。一位 35 歲女性因為腹圍漸增及頻尿來求診,經 腹部電腦斷層發現後腹腔有一大小為 24×21×16 立方公分的脂肪性腫瘤,以致患者的右腎被推擠至左上腹。患者接受手術治療,術中腫瘤被完整切除並成功保留患者的右腎。病理報告證實此腫瘤為血管平滑肌脂肪瘤。術後 4 個月的追蹤並未發現腫瘤復發,患者的右腎功能亦十分良好。

並列摘要


Extrarenal angiomyolipoma is an uncommon disease entity and is rare in the retroperitoneum. We report a case of giant extrarenal retroperitoneal angiomyolipoma mimicking liposarcoma. A 35-year-old woman presented with a history of increased abdominal circumference and urinary frequency. Abdominal computerized tomography demonstrated a 24×21×16 cm retroperitoneal fatty tumor displacing the right kidney to the left upper quadrant of the abdomen. At laparotomy, the tumor was widely excised and the right kidney was successfully preserved. Final histologic examination identified the tumor as an angiomyolipoma. At 4-month postoperative follow-up, no evidence of tumor recurrence was found and the right kidney was fully functional.

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