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肾上皮样血管平滑肌脂肪瘤3例临床病理观察
引用本文:杨秀萍,潘华雄,郭涛,贺骏,翁密霞. 肾上皮样血管平滑肌脂肪瘤3例临床病理观察[J]. 临床泌尿外科杂志, 2008, 23(9): 687-689
作者姓名:杨秀萍  潘华雄  郭涛  贺骏  翁密霞
作者单位:华中科技大学同济医学院附属协和医院病理科,武汉,430022;华中科技大学同济医学院附属协和医院病理科,武汉,430022;华中科技大学同济医学院附属协和医院病理科,武汉,430022;华中科技大学同济医学院附属协和医院病理科,武汉,430022;华中科技大学同济医学院附属协和医院病理科,武汉,430022
摘    要:目的:探讨肾上皮样血管平滑肌脂肪瘤(Angiomyolipoma,AML)的临床病理特征及鉴别诊断依据。方法:回顾性分析3例肾上皮样AML的临床和病理改变状况,以及组织形态及免疫标记物的表达特点。结果:3例术前影像学检查均考虑为肾癌,镜下肿瘤内均缺乏脂肪组织,可见特征性的血管结构以及上皮样肿瘤细胞围绕血管呈袖套样排列,免疫组织化学染色示肿瘤细胞HMB45或Melan-A弥漫阳性,SMA阳性表达不定。结论:肾上皮样AML是一种少见的具有恶性潜能的肿瘤,诊断中需要注意与肾细胞癌相鉴别。免疫组织化学染色是诊断肾上皮样AML的一项必不可少的技术手段。

关 键 词:肾上皮样血管平滑肌脂肪瘤  组织学  免疫组织化学

Renal epithelioid angiomyolipoma: a clinicopathological analysis of 3 cases
YANG Xiuping,PAN Huaxiong,GUO Tao,HE Jun,WENG Mixia. Renal epithelioid angiomyolipoma: a clinicopathological analysis of 3 cases[J]. Journal of Clinical Urology, 2008, 23(9): 687-689
Authors:YANG Xiuping  PAN Huaxiong  GUO Tao  HE Jun  WENG Mixia
Affiliation:1Department of Pathology;Union Hospital;Tongji Medical College;Huazhong University of Science and Technology;Wuhan;430022;China
Abstract:Objective:To investigate the clinicopathologic features and differential diagnosis of the renal epithelioid angiomyolipoma. Methods: The clinicopathologic features, morphology, immunohistochemistry were studied. Results: Preoperative imaging examination ,three cases were given to renal cell carcinoma. There is a proliferation of epithelioid cells arranged in sheets, often with perivascular cuffing of epithelioid cells. The blood vessels are thick-walled and lack the normal elastic content of arteries. All c...
Keywords:Renal epithelioid angiomyolipoma  Histology  Immunohistochemisty  
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