球囊辅助下治疗肾血管平滑肌脂肪瘤合并下腔静脉瘤栓一例报告并文献复习

目的报道球囊辅助下治疗肾血管平滑肌脂肪瘤伴下腔静脉瘤栓1例,结合文献复习加深对此病的认识。方法20岁女性患者,术前影像学检查提示右肾巨大肿瘤伴下腔静脉瘤栓,在球囊辅助阻断下行右肾切除及下腔静脉取栓术。结果病理报告为右肾血管平滑肌脂肪瘤,伴下腔静脉瘤栓,长6．5cm,术后随访1年未见复发。结论球囊辅助阻断下腔静脉可用于治疗肾血管平滑肌脂肪瘤伴下腔静脉瘤栓。

The use of balloon catheter in surgical treatment of renal angiomyolipoma with a caval thrombus: 1 case report and literature review

Objective To present one cases of the use of balloon catheter in surgical treatment of renal angiomyolipoma involving the renal vein and vena cava as a tumor thrombus and review literatures. Methods Abdominal ultrasound and CT and MRI demonstrated a large right renal mass with tumor thrombus in the inferior vena cava. Right nephrectomy and en-bloc removal of the intra caval tumor thrombus were performed. A balloon catheter was used to block vena cava under the level of liver vena during the operation. Results The pathological diagnosis was angiomyolipoma. The length of the tumor thrombus was 6. 5 cm. The patient recovered well 1 year after surgery. Conclusion Renal angiomyolipoma with a tumor thrombus should be paid more attention.