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Haemangiopericytoma of the Kidney

机译:肾脏血运细胞瘤

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Haemangiopericytoma (HPC) is an uncommon mesenchymal neoplasm of kidney. It affects young males unlike other common renal tumors and presents with a painless renal mass occasionally associated with haematuria. A 41 year old male presented with a left side 15x15 cm abdominal mass in his left lumbar and hypochondrium region. Contrast enhanced computed tomography showed a heterogenous mass with calcification, fluid filled cystic areas and showing a mild enhancement peripherally. Patient underwent left radical nephrectomy. The tumor was well circumscribed with solid and cystic areas had caused a superior polar hydronephrosis. The histological, histochemical and immuhistochemical findings suggested the diagnosis of HPC. Patient recovered well and is asymptomatic one year after surgery. Introduction Hemangiopericytoma (HPC) is an unusual soft tissue vascular tumor featuring uncontrolled proliferation of pericytes, which are the cells spiraling around capillaries described by Zimmerman[1] Though HPC may occur in any part of body; it predominantly occurs in the lower extremity and retroperitonium[2] and very rarely involves urogenital system[1]. We descried a case of renal HPC in a 41 year old man and present a brief review of literature. Case report A 50 year old male presented with a left side abdominal mass for 3 months. He had no history of haematuria or any other constitutional symptoms. On examination a large 15x15 cm bosselated mass occupying left lumbar and hypochondrium regions was found. Contrast enhanced computed tomography showed a sharply defined heterogeneous mass of size 13x9x20cms with cystic component, calcification and necrosis which had a mild enhancement at periphery, in the left renal area (Figure 1).
机译:血运细胞瘤(HPC)是肾脏的一种罕见的间质肿瘤。与其他常见的肾脏肿瘤不同,它会影响年轻男性,并伴有无血性肾肿,偶尔伴有血尿。一名41岁的男性患者左侧腰部和软骨下部左侧腹部出现15x15厘米肿块。对比增强计算机断层扫描显示异质性肿块伴钙化,液体充满囊性区域,周围显示轻度增强。患者接受了左根肾切除术。肿瘤界限清楚,实性和囊性区域引起上极性肾积水。组织学,组织化学和免疫组化结果提示HPC的诊断。病人康复良好,术后一年无症状。引言血管周细胞瘤(HPC)是一种异常的软组织血管肿瘤,其特征在于周细胞不受控制地增殖,这些细胞是Zimmerman [1]描述的围绕毛细血管旋转的细胞[1]。它主要发生在下肢和腹膜后[2],很少涉及泌尿生殖系统[1]。我们描述了一名41岁男性肾脏HPC的病例,并简要回顾了文献。病例报告一名50岁男性出现左侧腹部肿块3个月。他没有血尿病史或其他任何体质症状。在检查中发现一个大的15x15 cm凸起状肿块,占据左腰和软骨下部区域。对比增强的计算机断层扫描显示,在左肾区域,界限清晰的异质性肿块大小为13x9x20cms,具有囊性成分,钙化和坏死,外围有轻度增强(图1)。

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