Malignant renal epithelioid angiomyolipoma with an inferior vena cava and right atrium thrombus

被引：1

作者：

Lee, Hsiang-Ying ^{[1
]}

Huang, Chien-Wei ^{[2
]}

Li, Ching-Chia ^{[3
]}

Wu, Wen-Cheng ^{[4
]}

Liu, Ti-Chang ^{[5
]}

Wu, Chun-Chieh ^{[6
]}

Tsai, Yueh-Feng ^{[1
]}

Juan, Yung-Shun ^{[1
,4
,7
]}

机构：

[1] Kaohsiung Med Univ Hosp, Dept Urol, 100,Shih Chuan 1st Rd, Kaohsiung 807, Taiwan

[2] Kaohsiung Med Univ Hosp, Dept Cardiovasc Surg, Kaohsiung, Taiwan

[3] Kaohsiung Municipal Da Tung Hosp, Dept Urol, Kaohsiung, Taiwan

[4] Kaohsiung Municipal Hsiaokang Hosp, Dept Urol, Kaohsiung, Taiwan

[5] Kaohsiung Med Univ Hosp, Dept Hematol, Kaohsiung, Taiwan

[6] Kaohsiung Med Univ Hosp, Dept Pathol, Kaohsiung, Taiwan

[7] Kaohsiung Med Univ, Fac Grad Inst Med, Dept Urol, Coll Med, Kaohsiung, Taiwan

来源：

UROLOGICAL SCIENCE | 2012年 / 23卷 / 04期

关键词：

epithelioid angiomyolipoma; malignant angiomyolipoma;

D O I：

10.1016/j.urols.2012.10.009

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The epithelioid variant type of angiomyolipomas presents malignant characteristics compared to classic angiomyolipomas. Epithelioid angiomyolipomas (eAMLomas) are easy to misdiagnose as renal cell carcinoma due to similar histologic and radiographic findings. Until recently, only a few cases of distant metastases of eAMLoma were reported. Herein, we describe a 69-year-old woman with renal eAMLoma and tumor thrombus metastasis to the renal vein, inferior vena cava, and right atrium. She received a left radical nephrectomy combined with tumor thrombus excision and systemic chemotherapy. Using this case, we remind readers of the aggressive behavior and poor prognosis of eAMLomas and review the literature on the optimal treatment strategy. Copyright (C) 2012, Taiwan Urological Association. Published by Elsevier Taiwan LLC.

引用

页码：133 / 136

页数：4