摘要
目的:探讨原发性腹膜后黏液性囊腺瘤的临床及病理特点。方法:回顾性分析1例原发性腹膜后黏液性囊腺瘤患者的临床资料:患者女,29岁。19个月前体检时B超发现腹膜后右肾下极有3.5cm×2.4cm无回声占位性病变,内无明显血流信号。患者每6个月进行一次影像学复查,肿物体积未见明显变化。血清Ca199、Ca125、CEA等指标均在正常范围。患者在全麻下行腹腔镜腹膜后肿瘤切除术。并检索Pubmed和CBM数据库,对该疾病相关文献进行复习。结果:术后病理检查诊断为腹膜后交界性黏液性囊腺瘤。术后随访2个月,未见肿瘤复发。结论:腹膜后黏液性囊腺瘤是一种罕见的腹膜后肿瘤,诊断该病主要依靠术后病理检查。该肿瘤的体积及生长速度与肿瘤的恶性程度无确定关系。腹腔镜手术治疗腹膜后黏液性囊腺瘤安全有效。
Objective：To explore the clinical features and pathological character of primary retroperitoneal mucinous cystadenoma. Methods：To retrospectively analyse the clinical data of one case of primary retroperitoneal mucinous cystadenoma. The patient was a 29-year-old female and the tumor was found incidentally by healthy examination, B ultrasound showed an anechoic cyst mass of 3.5 cm × 2.4 cm located in the inferior pole of right kidney without obviously blood flow signal. Then she underwent recheck using imaging methods every six months and there is no change for the tumor volume. The serum levels of Ca199, Ca125 and CEA were normal. The Pubmed and CBM databases were searched for related articles and the clinical data was reviewed. Results： The patient received laparoscopic resection of the mass. The pathological diagnosis was retroperitoneal mucinous cystadenomas with borderline malignancy. The patient was no tumor recurrence in 2 months after operation. Conclusions： Primary retroperitoneal mucinous cystadenoma is a very rare retroperitoneal tumor. The diagnosis depended on pathology. There is no relationship between the malignant and the tumor size or growth speed. The retroperitoneoscopic surgery is a safe and effective therapeutic method for retroperitoneal mucinous laparoscope.
出处
《临床泌尿外科杂志》
北大核心
2011年第12期934-936,939,共4页
Journal of Clinical Urology
关键词
腹膜后肿瘤
黏液性囊腺瘤
病理检查
腹腔镜术
retroperitoneal tumor
mucinous cystadenoma
pathological examination
laparoscopy
