临床上以肿块为表现的肾脏炎症性病变临床病理分析

发布时间：2018-06-07 17:37

本文选题：肾脏肿瘤 + 炎症性病变　；参考：《临床与实验病理学杂志》2017年06期

【摘要】：目的探讨易被临床误诊为肾脏肿瘤的肾脏炎症性病变的临床病理学特征。方法回顾性分析西京医院病理科2006年3月~2015年8月因临床诊断为肾脏(包括肾盂)肿瘤而行根治性肾脏切除术或单纯肿瘤剜除术患者的临床病理资料并复习相关文献。结果 1 195例患者中,仅6例(1%)为肾脏炎症性病变,包括黄色肉芽肿性肾盂肾炎(2例)、肾脏软斑病(1例)、肾脏结核病(1例)、IgG4相关性肾小管-间质肾炎(1例)及肾脏Wegener肉芽肿/肉芽肿性多血管炎(1例)。其中男性2例,女性4例,年龄14~55岁,所有患者均由于影像学检查发现单侧孤立性肾脏肿物而行根治性肾脏切除术。结论肾脏炎症性病变形成瘤样肿块非常少见,其中一些病变有较为相似的组织学改变,由于这些疾病有着不同的临床治疗方案,充分了解其临床病理学特征,对正确诊断至关重要。
[Abstract]:Objective to investigate the clinicopathological features of renal inflammatory lesions which are easily misdiagnosed as renal tumors. Methods from March 2006 to August 2015, the clinicopathological data of patients undergoing radical nephrectomy or simple enucleation of tumor due to clinically diagnosed renal (including renal pelvis) tumors in Xijing Hospital were retrospectively analyzed and the relevant literature was reviewed. Results of the 1 195 patients, only 6 had inflammatory renal lesions. These include xanthogranulomatous pyelonephritis (n = 2), soft spot disease (n = 1), renal tuberculosis (n = 1) and renal Wegener granuloma / granulomatous polyvasculitis (n = 1). There were 2 males and 4 females aged 14 to 55 years. All patients underwent radical nephrectomy due to unilateral solitary nephrectomy. Conclusion the formation of tumor-like masses in renal inflammatory lesions is very rare, and some of these lesions have similar histological changes. As these diseases have different clinical treatments, the clinicopathological features of these diseases are well understood. It is essential to correct diagnosis.
【作者单位】：第四军医大学西京医院病理科;
【基金】：国家自然科学基金面上项目(81372783、81572545、81070582)
【分类号】：R692

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