【igg4相关疾病肾门部肿瘤1例】。

Koichiro Uehara, Yosuke Shibata, Kota Washimi, Kimito Osaka
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引用次数: 0

摘要

一名72岁男子因右肾肿瘤转诊至我院。超声检查显示右肾门有两个肿块。CT增强扫描示右肾门25 mm、10 mm软组织密度结节,造影效果差。正电子发射断层扫描显示同一区域积聚了6.65的SUVmax。ct引导下进行活检,免疫染色显示存在IgG4阳性浆细胞簇和658 mg/dL的高血清IgG4水平。确诊为igg4相关疾病,并对患者进行观察。ct引导下的活检有助于诊断igg4相关疾病,在单侧肾门发现肿块时应考虑活检。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A CASE OF RENAL HILAR TUMORS IN IGG4-RELATED DISEASE].

A 72-year-old man was referred to our hospital because of right renal tumors. Ultrasound examination revealed two masses in the right renal hilum. Contrast-enhanced computed tomography (CT) scan showed 25 mm and 10 mm soft tissue density nodules with poor contrast effect in the right renal hilum. Positron emission tomography-CT scan showed an accumulation of SUVmax of 6.65 in the same area. A CT-guided biopsy was performed, and immunostaining revealed the presence of IgG4-positive plasma cell clusters and a high serum IgG4 level of 658 mg/dL. A definitive diagnosis of IgG4-related disease was made, and the patient was placed under observation.A CT-guided biopsy is helpful for the diagnosis of IgG4-related disease and should be considered when masses are found in the unilateral renal hilum.

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