肾部分切除术后肾吻合口血管瘤诊断与治疗的再思考。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Yun-Peng Guo, Gaurab Pokhrel, Yu-Yang Wang, Quan Wen, Gai Hang, Bo Chen
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引用次数: 0

摘要

肾吻合口血管瘤(AH)是一种罕见的良性血管肿瘤,具有独特的组织病理学特征,临床上罕见,现有临床病例提供不同的治疗方案。本文报道,这是一个非常罕见的肾AH病例,肾透明细胞癌后继发于残留肾组织,描述了罕见的肾AH和肾透明细胞癌的病史,包括超声、计算机断层扫描和磁共振成像。然而,现有的影像学资料和文献并不能为本病的诊断提供有效的依据,引起对该病的认识不足和误诊,最终患者接受了肾切除术,但笔者并没有进行最合适的手术治疗。患者术后病理结果为良性病变,不可否认肾切除术有治疗过度的嫌疑。通过阅读文献,我们对患者的治疗提供了不同的见解,我们希望本文可以为今后的临床诊断和治疗提供一些帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rethinking the diagnosis and treatment of renal anastomotic hemangioma after partial nephrectomy.

Renal anastomotic hemangioma (AH) is a rare, benign vascular tumor with unique histopathological features, a disease that is clinically rare, and existing clinical cases offer different treatment options. As reported in the text, this is a very unusual case of renal AH with AH secondary to residual renal tissue after renal clear cell carcinoma, describing a rare renal AH and a history of renal clear cell carcinoma, including ultrasound, computed tomography and magnetic resonance imaging. However, the available imaging data and the literature do not provide an effective basis for the diagnosis of the disease, raising the lack of understanding and misdiagnosis, where the patient eventually underwent nephrectomy, but the author is not the most appropriate surgical treatment. The postoperative pathological results of the patient are benign lesions, and it is undeniable that nephrectomy is suspected to be overtreated. By reading the literature, we provide different insights into the treatment of the patient, and we hope that this paper can provide some help for the future clinical diagnosis and treatment.

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来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
自引率
0.00%
发文量
3384
期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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