4例肾上皮样血管平滑肌脂肪瘤的诊断与治疗(2)
肾上皮样AML临床少见,具有恶性潜能,好发于结节性硬化症患者。影像学及组织学检查常缺乏特异性表现,免疫组化有助于鉴别诊断。诊断恶性上皮样AML需慎重,p53及Ki67有助于判断肿瘤良恶性。局灶性肾上皮样AML术后宜严密随访。转移性上皮样AML可采用化疗,远期疗效尚有待评估。
参考文献
[1] Bing Z,Mac Lennan G T.Renal epithelioid angiomyolipoma[J].J Urol,2009,182(5):2468-2469.
[2] Tsai C C,Wu W J,Li C C,et al.Epithelioid angiomyolipoma of the kidney mimicking renal cell carcinoma:a clinicopathologic analysis of cases and literature review[J].Kaohsiung J Med Sci,2009,25(3):133-140.
[3] Nelson C P,Sanda M G.Contemporary diagnosis and management of renal angiomyolipoma[J].J Urol,2002,168(4 Pt 1):1315-1325.
[4] Svec A,Velenska Z.Renal epithelioid angiomyolipoma-a close mimic of renal cell carcinoma.Report of a case and review of the literature[J].Pathol Res Pract,2005,200(11-12):851-856.
[5] Cibas E S,Goss G A,Kulke M H,et al.Malignant Epithelioid Angiomyolipoma(‘Sarcoma Ex Angiomyolipoma’) of the Kidney[J].Am J Surg Pathol,2001,25(1):121-126.
[6] Kawaguchi K,Oda Y,Nakanishi K,et al.Malignant transformation of renal angiomyolipoma:a case report[J].Am J Surg Pathol,2002,26(4):523-529.
[7]李玉莉,郑军华,姜蕾,等.肾血管平滑肌脂肪瘤的临床病理学分析[J].中华泌尿外科杂志,2006,27(12):814-816.
[8]张跃曦,李明全,田凯,等.54例肾血管平滑肌脂肪瘤的诊断与治疗[J].中国医学创新,2013,10(12):47-49.
(收稿日期:2015-02-15) (编辑:何玉勤), http://www.100md.com(邹伟 江波涛 孔东波 等)
参考文献
[1] Bing Z,Mac Lennan G T.Renal epithelioid angiomyolipoma[J].J Urol,2009,182(5):2468-2469.
[2] Tsai C C,Wu W J,Li C C,et al.Epithelioid angiomyolipoma of the kidney mimicking renal cell carcinoma:a clinicopathologic analysis of cases and literature review[J].Kaohsiung J Med Sci,2009,25(3):133-140.
[3] Nelson C P,Sanda M G.Contemporary diagnosis and management of renal angiomyolipoma[J].J Urol,2002,168(4 Pt 1):1315-1325.
[4] Svec A,Velenska Z.Renal epithelioid angiomyolipoma-a close mimic of renal cell carcinoma.Report of a case and review of the literature[J].Pathol Res Pract,2005,200(11-12):851-856.
[5] Cibas E S,Goss G A,Kulke M H,et al.Malignant Epithelioid Angiomyolipoma(‘Sarcoma Ex Angiomyolipoma’) of the Kidney[J].Am J Surg Pathol,2001,25(1):121-126.
[6] Kawaguchi K,Oda Y,Nakanishi K,et al.Malignant transformation of renal angiomyolipoma:a case report[J].Am J Surg Pathol,2002,26(4):523-529.
[7]李玉莉,郑军华,姜蕾,等.肾血管平滑肌脂肪瘤的临床病理学分析[J].中华泌尿外科杂志,2006,27(12):814-816.
[8]张跃曦,李明全,田凯,等.54例肾血管平滑肌脂肪瘤的诊断与治疗[J].中国医学创新,2013,10(12):47-49.
(收稿日期:2015-02-15) (编辑:何玉勤), http://www.100md.com(邹伟 江波涛 孔东波 等)