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目的:探讨肾脏交织状血管瘤的临床特点、诊断和治疗。方法:回顾性分析1例右肾交织状血管瘤患者的临床资料并复习相关文献,总结诊疗经验。患者,男,48岁,因体检发现右肾占位5个月入院。专科查体无异常;实验室检查正常;CTU示右肾中下部可见类圆形稍低密度影,内见点状致密结节影,最大截面积3.9cm×3.1cm,增强扫描呈斑片样不均匀明显强化,内见不规则无明显强化区,提示恶性病变可能性大。结果:患者入院后完善相关检查,结合影像资料,考虑肾恶性肿瘤可能大,在全麻下行右肾部分切除术,术后1周顺利出院,术后病理回报为右肾交织状血管瘤。结论:肾脏交织状血管瘤是一种良性病变,临床罕见,诊断主要依赖术后病理。由于无特异性临床表现,且影像学上常难以与肾脏恶性肿瘤区分,易导致过度诊断及治疗,因此应引起临床医生重视。
Objective: To investigate the clinical features, diagnosis and treatment of renal interstitial hemangiomas. Methods: A retrospective analysis of 1 case of right renal intercurrent hemangioma clinical data and review the relevant literature, summed up the experience of diagnosis and treatment. Patients, male, 48 years old, due to physical examination found that the right kidney occupies 5 months admission. No abnormalities in the specialist examination; laboratory tests were normal; CTU showed a slightly lower circular density of the lower part of the right kidney, see the dot-like dense nodules, the maximum cross-sectional area of 3.9cm × 3.1cm, enhanced scan showed patchy Uniform significantly strengthened, see the irregular enhancement within the area, suggesting that the possibility of malignant lesions. Results: The patients were admitted to hospital to improve the relevant examination, combined with imaging data, considering the possibility of malignant neoplasms, under general anesthesia, right partial nephrectomy, 1 week after the successful discharge, postoperative pathological findings for the right renal interstitial hemangiomas. Conclusion: Renal interstitial hemangioma is a benign disease, which is rare in clinic. The diagnosis mainly depends on the postoperative pathology. Because of non-specific clinical manifestations, and often difficult to distinguish with renal malignancy imaging, easily lead to excessive diagnosis and treatment, it should cause clinicians attention.