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肾脏血管平滑肌脂肪瘤的病理形态变化(三例报告)

THE PATHOLOGIC FEATURES OF RENALANGIOMYOLIPOMA (REPORT OF 3 CASES)

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【作者】 马文香孙昌惕

【Author】 Ma Wen-xiang, Sun Chang-ti Institute of Surgical Urology, Beijing Medical College

【机构】 北京泌尿外科研究所北京泌尿外科研究所

【摘要】 <正> 血管平滑肌脂肪瘤是由纤维组织,脂肪、血管和平滑肌形成单个或多个结节,而没有器官形成的良性混合性肿瘤。1880年Bourneville首先进行描述。1951年,Morgan及共同事首先应用血管平滑肌脂肪瘤这个名称。1911年,Fischer第一个描写血管平滑肌脂肪瘤的肾脏病变和组织学所见。对此瘤,文献上已有200多例报告,主要发生在伴有结节性硬化和不伴有结节性硬化的中年妇女。结节性硬化症(Bourneville氏病)为一遗传家族性正染色体显性基因

【Abstract】 A thors report the clinical, radiological and pathological features of renal angiomyolipoma in 3 patients. All of them are not associated with tuberous sclerosis. They are 2 female and 1 male age 52,28 and 55 years old respectively.The chief Symptoms of these patients are hamaturea and abdominal pain. The duration of symptoms are 2,10 and 3/12 years respectively. The angiographic and pyetographic characteristics have been described in details.The gross examination revealed that most of the tumor are yellow adipose tissue, fibrous tissue and mixing with some red spots or masses.The microscopic examination showed typical matured adipose cellls, smooth muscle and numerous thick wallled blood vesssels, appearing as capillary hemangioma or cavernous myohemangioma. Some part of the tumoe may show degeneration or calcification.At the corrresponding area, the pelvis is depressed and tortuous but stilll remains unchanged.

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