肾源性腺瘤合并黄色肉芽肿性肾盂肾炎1例报告并文献复习

doi:10.19558/j.cnki.10-1020/r.2021.05.012

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摘要 目的:探讨肾源性腺瘤合并黄色肉芽肿性肾盂肾炎病的发病机制、病理特点、临床表现、诊断和治疗。方法:回顾性分析1例左侧肾盂肾源性腺瘤合并黄色肉芽肿性肾盂肾炎病例的临床资料,复习相关文献并予讨论。患者女,65岁,因“反复血尿2个月余,加重2周”入院,术前拟诊为左肾盂癌合并输尿管炎性狭窄。结果:患者先后接受输尿管镜下左输尿管及肾盂镜检术+活检术+左输尿管逆行插管术、腹腔入路腹腔镜下左肾及输尿管全长切除术,术后病理结果提示左侧肾盂肾源性腺瘤合并黄色肉芽肿性肾盂肾炎。术后随访半年未见异常。结论:肾源性腺瘤和黄色肉芽肿肾盂肾炎均为临床上少见的良性疾病,同一患者同时合并两种疾病较为罕见。该病需与其他良、恶性疾病相鉴别,以便正确诊断与及时治疗。

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	邓明霞
	姚睿智
	童文婷
	吴狄
	孟磊

关键词 ：肾源性腺瘤, 黄色肉芽肿肾盂肾炎, 诊断, 治疗

Abstract：Objective: To investigate the pathogenesis, pathology, clinical manifestations, diagnosis and differential diagnosis and treatment of a rare case of Nephrogenic Adenoma （NA） complicated with Xanthogranulomatous Pyelonephritis （XGP）. Methods: The clinical data of a case of NA of the left renal pelvis with XGP treated in our hospital was retrospectively analyzed, and the relevant literature was reviewed and discussed. A 65-year-old female patient was admitted to the hospital because of "recurrent hematuria for more than 2 months and worsening for 2 weeks". Before the operation, she was diagnosed as left renal pelvis cancer with ureteral inflammatory stenosis. Results: The patient has received ureteroscopy of left renal pelvis and ureter and mucosa Biopsy and retrograde intubation of the left ureter,Abdominal approach left nephrectomy and left ureterectomy. The pathological results were NA complicated with XGP. The patient was free of signs of recurrence 6 months after operation. Conclusions: Both NA and XGP are rare benign diseases. No case of the same patient with both diseases has 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： nephrogenic adenoma Xanthogranulomatous pyelonephritis diagnosis treatment

收稿日期: 2021-04-26

基金资助:广州中医药大学第一附属医院创新强院工程（2019GL02）

通讯作者: 孟磊,mengleitiger@hotmail.com

引用本文:

邓明霞, 姚睿智, 童文婷, 吴狄, 孟磊. 肾源性腺瘤合并黄色肉芽肿性肾盂肾炎1例报告并文献复习[J]. 微创泌尿外科杂志, 2021, 10(5): 343-347.
DENG Mingxia, YAO Ruizhi, TONG Wenting, WU Di, MENG Lei. A case report of Nephrogenic adenoma associated with Xanthogranulomatous pyelonephritis and literature review. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(5): 343-347.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1709.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2021/V10/I5/343

[1] 李方龙,邱建宏,张世睿.尿道憩室内肾源性腺瘤1例报告并文献复习.现代泌尿生殖肿瘤杂志,2019,11(2):105-108.
[2] VENYO KG.Nephrogenic adenoma of the urinary B ladder: a review of the literature. Int Sch Res Notices, 2015:704982.
[3] 沈棋,孙莉华,王静华,等.32例肾源性腺瘤临床病理特点及免疫组织化学染色分析.北京大学学报(医学版),2013,45(4):522-526.
[4] 沈无名,周军,夏春,等.泌尿道肾源性腺瘤2例报告及文献复习.中国临床研究,2013,26(5):437-439,416.
[5] ALSANJARI N, LYNCH MJ, FISHER C, et al.Vesical clear cell adenocarcinoma. V. Nephrogenic adenoma: a diagnostic problem. Histopathology, 1995,27(1):43-49.
[6] 吕倩,黄悦,王劲松,等.膀胱肾源性腺瘤3例报道及文献复习.诊断病理学杂志,2019,26(7):404-407.
[7] ADDISON B, ZARGAR H, LILIC N, et al.Analysis of 35 cases of Xanthogranulomatous pyelonephritis. ANZ J Surg, 2015,85(3):150-153.
[8] 赵雪艳,马芳萍,张玉,等.黄色肉芽肿性肾盂肾炎2例病理分析.延安大学学报(医学科学版),2011,9(3):36-37.
[9] 赵伟. 黄色肉芽肿性肾盂肾炎16例临床分析.实用医药杂志,2011,28(9):798-799.
[10] 刘晓霞,翟曜耀,卢再鸣.黄色肉芽肿性肾盂肾炎的CT影像诊断及病理分析.临床放射学杂志,2021,40(5):941-944.
[11] 尹跃峰,王建中,刘永浩.CT对黄色肉芽肿性肾盂肾炎的诊断与鉴别诊断价值探究.现代医学与健康研究,2017,1(9):86.
[12] BEGUM T, HUQ ME, AHMED M.Xanthogranulomatous pyelonephritis. BMJ Case Rep, 2016:bcr2016216025.
[13] TAN YH, SIDDIQUI K, PREMINGER GM, et al.Hand-assisted laparoscopic nephrectomy for inflammatory renal conditions. J Endourol, 2004,18(8):770-774.
[14] KHAIRA HS, SHAH RB, WOLF JJ.Laparoscopic and open surgical nephrectomy for xanthogranulomatous pyelonephritis. J Endourol, 2005,19(7):813-817.
[15] Brown JF, ChamberlainJC, RothCC. The role of laparoscopic nephrectomy in pediatric xanthogranulomatous pyelonephritis: a case report. Case Rep Urol, 2013,2013:598950.