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中华腔镜泌尿外科杂志(电子版)

中华腔镜泌尿外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 422 -426. doi: 10.3877/cma.j.issn.1674-3253.2018.06.015

所属专题： 经典病例； 经典病例； 文献；

病例研究

肾盂脂肪瘤病合并膀胱黄色肉芽肿性膀胱炎一例并文献复习
张进祥1, 陈振声1, 陈业辉1,†(), 刘燕青1, 黎伟龙1, 杨文俊1, 袁红1, 陈运逢1, 庄盛英1, 雷炜1, 魏新华2, 许进3   
  1. 1. 510180　广州医科大学附属市一医院泌尿外科
    2. 510180　广州医科大学附属市一医院影像科
    3. 510180　广州医科大学附属市一医院病理科
  • 收稿日期:2018-07-23 出版日期:2018-12-01
  • 通信作者: 陈业辉
  • 基金资助:
    广州市创委科技计划项目(201804010408)

Renal replacement lipomatosis associated with xanthogranulomatous cystitis: a case report and review of the literature

Jinxiang Zhang1, Zhensheng Chen1, Yehui Chen1,†(), Yanqing Liu1, Weilong Li1, Wenjun Yang1, Hong Yuan1, Yunfeng Chen1, Shengying Zhuang1, Wei Lei1, Xinhua Wei2, Jin Xu3   

  1. 1. Department of Urology, Guangzhou Medical University, Guangzhou 510180, China
    2. Department of Radiology, Guangzhou Medical University, Guangzhou 510180, China
    3. Department of Pathology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, China
  • Received:2018-07-23 Published:2018-12-01
  • Corresponding author: Yehui Chen
  • About author:
    Corresponding author: Chen Yehui, Email:
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引用本文：

张进祥, 陈振声, 陈业辉, 刘燕青, 黎伟龙, 杨文俊, 袁红, 陈运逢, 庄盛英, 雷炜, 魏新华, 许进. 肾盂脂肪瘤病合并膀胱黄色肉芽肿性膀胱炎一例并文献复习[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(06): 422-426.

Jinxiang Zhang, Zhensheng Chen, Yehui Chen, Yanqing Liu, Weilong Li, Wenjun Yang, Hong Yuan, Yunfeng Chen, Shengying Zhuang, Wei Lei, Xinhua Wei, Jin Xu. Renal replacement lipomatosis associated with xanthogranulomatous cystitis: a case report and review of the literature[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(06): 422-426.

目的

探讨罕见的肾盂脂肪瘤病合并膀胱黄色肉芽肿性膀胱炎病例的发病机制、病理特点、临床表现、诊断和治疗。

方法

回顾性分析1例我院收治的肾盂脂肪瘤病合并膀胱黄色肉芽肿性膀胱炎病例临床资料，复习相关文献并予以讨论。患者女，51岁，因"无痛性肉眼血尿6个月"入院，术前拟诊为左肾盂癌伴输尿管膀胱种植转移。

结果

先后行膀胱镜检+活检术、经尿道膀胱肿物切除术、3D腹腔镜下左肾切除+左输尿管切除术，术中术后病理结果：左肾盂脂肪瘤病合并膀胱黄色肉芽肿性膀胱炎，术后随访6个月未见异常。

结论

肾盂脂肪瘤病和膀胱黄色肉芽肿性膀胱炎均为临床上罕见的良性疾病，同一患者同时合并有这两种疾病的病例暂未见报道。该病需与泌尿系统的其他良恶性肿瘤相鉴别，以便正确诊断与及时治疗。

关键词: 肾肿瘤, 肾盂脂肪瘤病, 膀胱肿瘤, 黄色肉芽肿性膀胱炎, 诊断
Objective

To review the pathogenesis, pathology, clinical manifestations, diagnosis and differential diagnosis and treatment of a rare case of renal replacement lipomatosis(RRL) complicated with xanthogranulomatous cystitis(XC).

Methods

A 51-year-old female patient was admitted to the hospital with macroscopic hematuria for 6 months. Combined with preoperative imaging examination, preoperative diagnosis was left renal pelvis cancer with ureteral bladder implant metastasis. The case of RRL complicated with XC was analyzed and reviewed the literatures.

Results

The patient has received cystoscope detect and mucosa Biopsy, TURBT, 3D laparoscopic left nephrectomy and left ureterectomy. The pathological results were RRL complicated with XC. The patient was free of signs of recurrence 6 months after operation.

Conclusions

Both RRL and XC are rare benign diseases. No case of the same patient with both diseases have been reported. The disease needs to be differentiated from other benign and malignant tumors of the urinary system for proper diagnosis and timely treatment.

Key words: Renal tumor, Renal replacement cipomatosis, Bladder tumor, Xanthogranulomatouscystitis, Diagnosis
图2 膀胱肿物及肾脏肿物光镜病理切片图
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