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32_227.pdf | 6.93 MB | Adobe PDF | 見る/開く |
タイトル: | CTscanで診断できなかった腎血管筋脂肪腫の1例 |
その他のタイトル: | The limit in differential diagnosis of renal angiomyolipoma from renal cell carcinoma on computerized tomography: a case report |
著者: | 藤本, 宜正 多田, 安温 市川, 靖二 小出, 卓生 |
著者名の別形: | FUJIMOTO, Nobumasa TADA, Yasuharu ICHIKAWA, Yasuji KOIDE, Takuo |
キーワード: | Renal angiomyolipoma Computerized tomography Preoperative diagnosis |
発行日: | Feb-1986 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 32 |
号: | 2 |
開始ページ: | 227 |
終了ページ: | 231 |
抄録: | Recent reports have described that the accurate preoperative diagnosis of renal angiomyolipoma is possible with computerized tomography (CT). There are, however, some cases of angiomyolipoma which are indistinguishable from renal cell carcinoma on CT. Herein we report a case of renal angiomyolipoma which CT failed to reveal preoperatively. In a 71-year-old Japanese male, a left renal tumor was incidentally suspected on excretory urogram. Then CT demonstrated a homogeneous mass in the upper part of the left kidney, 6 cm in diameter, which showed a positive attenuation coefficient, slightly denser than renal parenchyma. Selective left renal arteriogram showed hypervascularity without aneurysmal formation or arteriovenous fistula. These radiologic findings strongly suggested renal cell carcinoma and radical left nephrectomy was performed. Histological examination confirmed angiomyolipoma composed mainly of smooth muscle with thick-walled vessels and immature fat cells. We reviewed the literature and discussed the computerized tomographic-pathologic correlation of angiomyolipoma. |
URI: | http://hdl.handle.net/2433/118743 |
PubMed ID: | 3728229 |
出現コレクション: | Vol.32 No.2 |
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