肾脏炎性假瘤的临床特征

目的:探讨肾脏炎性假瘤的临床特征。方法:报告12例肾脏炎性假瘤的临床资料,8例术前误诊为肾脏肿瘤而进行手术治疗,其中肾切除5例,术中取活检后行单纯肿瘤切除3例;其余4例抗感染治疗。结果:抗感染治疗4例肿瘤分别在2、3、3、5个月消失;全部病例随访1~3年,未见复发。结论:肾脏炎性假瘤的影像学特异性相对不高,易误诊。选择性肾动脉造影和多点穿刺有助于鉴别诊断,术中快速冷冻切片是诊断和决定手术范围的直接依据。本病抗感染治疗有效。     

肾脏炎性假瘤1例

肾脏炎性假瘤(RIP)临床少见.2006年7月20日我院收治1例,现报告如下. 患者,男,26岁.因间歇性左侧腰痛伴发热1月入院.发热时体温37.7～39.1℃,可自行恢复正常.病程中未给予任何治疗.     

肾脏炎性假瘤的诊断与治疗(附9例报告)

目的:提高对肾脏炎性假瘤(RIP)的认识及诊治水平。方法:回顾性分析我院近年来诊治的9例RIP患者的临床资料,并结合文献复习探讨RIP的诊治方法。结果:9例患者中,5例误诊为肾癌,行肾切除术;1例误诊为肾盂癌,行肾、输尿管、膀胱切除术;3例经穿刺病理活检证实为炎症,行抗炎治疗后痊愈。密切随访1~6年,6例行切除术的患者中,3例未见肿瘤复发;3例确诊的患者也未见肿瘤复发。结论:RIP诊断困难,临床上极易误诊,细针穿刺活检是其确诊的主要依据。     

肾脏炎性假瘤1例

患者男，12岁。因右腰部酸胀疼痛2个月，于2003年3月12日入院。2个月前出现右腰部阵发性酸痛，活动时加重，伴低热，无血尿及其它特殊症状。体检：生命体征正常，心、肺、腹部无异常。右肾区未扪及包块，叩痛不明显。实验室检查无异常。B超示右肾占位性病变。IVU示右肾不显影。     

脾脏炎性假瘤1例

1病例资料患者女,46岁,因"左肩背部疼痛2 d"于2012年9月15日就诊,未诉腹部明显不适。患者无发热,无反酸、嗳气,无恶心、呕吐,无腹泻、黑便,否认外伤史及手术史。体格检查:腹平,触软,左上腹轻度压痛,无反跳痛,肝脾肋下未及,肝肾脾区无叩痛,肠鸣音正常。血常规:RBC 3.14×1012/L,Hb 87 g/L,PLT 213×109/L,Hbs-Ag(-)。超声检查示:脾脏体积     

肝脏炎性假瘤的诊治(附三例报告)

肝脏炎性假瘤极少见。我院在 1 990～ 2 0 0 0年间共行肝肿瘤切除术 450例 ,发现肝脏炎性假瘤 3例(0 .7% ) ,现报告如下。1　临床资料　　例 1 ,男 ,2 8岁 ,因右上腹疼痛 1个月入院。既往无肝病史。查体 :无黄疸 ,无肝掌及蜘蛛痣 ,未见腹壁静脉曲张 ,脾肋下未及 ,肝右肋下 2 cm、剑突下 3cm、质中、轻压痛 ,移浊征阴性。辅助检查 :HBs Ag(- ) ,血 AFP定量 <2 0μg/L,SGPT 1 58.7IU/L、SGOT92 .9IU/L ,B超及 CT见肝右后叶 8.0 cm× 8.1 cm实质性包块 ,腹腔淋巴结肿大。入院诊断原发性肝癌。入院后在全麻下行右肝后叶及腹主动脉旁淋…     

胆囊炎性假瘤1例

患者 ,女性 ,5 5岁 ,因反复右上腹痛 1月余入院。查体 :一般情况好 ,皮肤巩膜无黄染 ,心肺腹未见明显异常。Ｂ超示“胆囊占位性病变 ,胆囊癌 ,慢性胆囊炎”。ＣＴ示胆囊底部一低密度影 ,2 .5ｃｍ× 3.0ｃｍ大小 ,与肝实质分界欠清 ,增强时有不均匀强化 ,内有更低密度影 ,估计为胆囊占位性病变 ,胆囊癌侵犯肝组织可能性大。入院诊断 :胆囊占位性病变 ,胆囊癌 ,慢性胆囊炎。入院后经术前准备 ,于 2 0 0 1年 7月 16日手术治疗 ,术中所见 :胆囊大小约为 8.0ｃｍ× 6 .0ｃｍ ,胆囊壁增厚 ,胆囊底部可触及一 2 .5ｃｍ× 3.0ｃｍ大小肿块 ,质中 ,与…     

肝脏炎性假瘤12例诊治分析

目的探讨肝脏炎性假瘤的诊断和治疗方法。方法回顾性分析1998年6月至2004年10月收治的12例肝脏炎性假瘤的临床资料,结合文献对其临床症状、影像学特点、诊断和治疗方法进行了总结。结果12例病人中有右上腹不适者9例(75%),发热5例(41.6%),乏力消瘦5例(41.6%),呕吐和腹泻3例(25%)。B超检查肿块为低回声,CT检查肿块为低密度和周边强化或不均一强化,其中有3例门静脉分支穿过或包绕病灶呈闭塞性静脉炎改变。术前正确诊断4例(33.3%)。12例均行手术切除,经3个月至6年的随访无复发。结论结合临床特点和影像学表现的综合分析有助于术前诊断肝脏炎性假瘤。手术切除仍然是主要的治疗方法。     

Inflammatory pseudotumor of the kidney: A case report

Inflammatory pseudotumor of the kidney is a very rare lesion. We report a patient who had a renal mass raising the suspicion of a malignant neoplasm and the pathologic examination revealed an inflammatory pseudotumor. Despite its rarity, inflammatory pseudotumor of kidney should be kept in mind in the differential diagnosis of a solitary renal mass.     

儿童输尿管炎性假瘤1例报告并文献复习

目的：探讨输尿管炎性假瘤(1nflammatory pseudotumor，IPT)的临床特点，提高其诊治水平。方法：报告1例9岁男性输尿管IPT患者，并复习文献就相关问题予以讨论。结果：术后患者恢复良好，痊愈出院。病理检查证实为输尿管IPT。结论：IPT指组织炎性增生形成的肿瘤样团块，根据症状、体征及影像学检查结果难与恶性肿瘤相鉴别，其确诊有赖于病理学检查。输尿管IPT治疗大多仍需行外科手术，并在治疗后进行随访。     

Inflammatory pseudotumor of the kidney

Renal inflammatory pseudotumor is a very rare benign condition of unknown etiology characterized by proliferative myofibroblasts, fibroblasts, histiocytes, and plasma cells. We report a case of inflammatory pseudotumor of the kidney. A 42-year-old female was admitted with the complaint of right flank pain. Computerized tomography revealed a tumor, 7 cm in diameter, in the upper pole of the right kidney. Right radical nephrectomy was performed under the diagnosis of renal cell carcinoma. Histological examination demonstrated a tumor composed of spindle-shaped fibroblastic cells infiltrated by variable numbers of plasma cells, small lymphocytes and histiocytes. The pathologic diagnosis was renal inflammotory pseudotumor.     

脾脏炎性假瘤七例诊治报告

目的探讨脾脏炎性假瘤的临床诊断和治疗。方法回顾性分析2006年1月至2015年3月7例经手术和病理证实的脾脏炎性假瘤的临床资料以及结合文献探讨其CT表现。结果 7例病人中2例有外伤致脾脏包膜下血肿病史,病程较长,早期无自觉症状,其余病例均由体检发现脾脏占位,无特异性临床表现,均行脾脏切除术。术后定期随访均无并发症。结论脾脏炎性假瘤的治疗主要是通过手术,增强CT对脾脏炎性假瘤的诊断和鉴别诊断具有重要价值。     

Mesenteric inflammatory pseudotumor: A difficult diagnosis. Case report

IntroductionInflammatory pseudotumor (IP) is an uncommon benign neoplasm. It was first described in the lung but it has been recognized in several somatic and visceral locations. Mesenteric presentation is rare and its clinical presentation is variable but patients can be completely asymptomatic. Complete surgical resection is the only curable treatment. Rational follow-up protocols have not been established yet.Presentation of caseA 57 years-old man, with no relevant comorbidities and completely asymptomatic, apart from a lump on the right hypochondrium, was submitted to surgical resection of a large mesenteric mass. The preoperative Computed Tomography suggested gastrointestinal stromal tumor as the most probable diagnosis. Definitive histological examination of the completely resected surgical specimen confirmed the diagnosis of IP. The patient has been on follow-up for four years, without no evidence of recurrence.DiscussionThe preoperative diagnosis of IP may be difficult to establish mainly due to the lack of a typical clinical presentation. It is a rare entity, particularly in the adult population. These two aspects make it easier to neglect this entity in the differential diagnosis of an abdominal mass on asymptomatic adults. Although there are no formal guidelines on follow-up, close follow-up seems to be advisable in these patients as recurrence is frequent.ConclusionIP should be present as a possible differential diagnosis in an abdominal mass. Complete excision of the lesion can be curable but close follow-up seems to be required.     

Nonresectable inflammatory pseudotumor of the porta hepatis

Inflammatory pseudotumors are rare mass lesions often mistaken for malignancy. Currently, only 2 cases of pseudotumors originating from the porta hepatis have been reported in the pediatric literature, and both cases were those of patients older than 30 years. When located in the porta hepatis, pseudotumors are difficult to treat via surgical resection, and other therapeutic options must be considered. We report a pediatric case of inflammatory pseudotumor of the porta hepatis and discuss the different surgical and nonsurgical options used in treating pseudotumors.     

8例肝脏炎性假瘤的超声造影表现分析

目的探讨肝脏炎性假瘤（Inflammatory pseudotumor of liver,IPL）的超声造影（Contrast enhanced ultrasound,CEUS）表现,以提高对该病的认识。方法2004年1月-2009年12月,对在我院行常规超声及CEUS检查并经手术或超声引导下活检证实为IPL的8例患者进行回顾性分析。结果3例IPL表现为造影三相呈无增强,5例有增强,其中3例早期动脉相呈高增强,2例为等增强;4例在门脉相延迟相呈低增强,1例在门脉相呈等增强,延迟相病灶局部呈低增强。结论IPL的超声造影表现存在多样性,对于超声造影疑为恶性病灶而临床表现不支持时,不能完全除外IPL的可能,有必要行超声引导下活检以明确诊断。