现代泌尿外科杂志2024,Vol.29Issue(10) :909-911.DOI:10.3969/j.issn.1009-8291.2024.10.014

肝组织异位至肾上腺1例报告并文献复习

Liver tissue ectopic to adrenal gland:a case report and review of the literature

胡金鼎 秦东瑞 邓乃刚 翟利然 王翰博
现代泌尿外科杂志2024,Vol.29Issue(10) :909-911.DOI:10.3969/j.issn.1009-8291.2024.10.014

肝组织异位至肾上腺1例报告并文献复习

Liver tissue ectopic to adrenal gland:a case report and review of the literature

胡金鼎 1秦东瑞 2邓乃刚 1翟利然 1王翰博3
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作者信息

  • 1. 山东第一医科大学附属聊城二院泌尿外科,山东聊城 252600
  • 2. 山东第一医科大学附属聊城二院病理科,山东聊城 252600
  • 3. 山东第一医科大学附属省立医院泌尿外科,山东济南 250021
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摘要

目的 探讨肝组织异位至肾上腺的临床特点及诊治方法,提高临床上对该疾病的认识.方法 报告山东第一医科大学附属聊城二院泌尿外科收治的1例罕见的肝组织异位至肾上腺的患者资料并结合文献进行讨论.结果 32岁男性因血压升高并发现右侧肾上腺肿物半年余就诊,影像学检查提示为右侧肾上腺肿瘤,考虑髓样脂肪瘤可能性大,行腹腔镜右侧肾上腺切除,术后病理提示肝组织异位至肾上腺,肝细胞增生,脂肪化生,少量淋巴细胞浸润.免疫组织化学提示Hep-1(+).随访12个月,患者一般情况良好,无并发症发生,无复发征象.结论 良性肝组织异位至肾上腺罕见,术前诊断困难,确诊主要依靠病理,通常选择手术切除治疗.

Abstract

Objective To explore the clinical characteristics,diagnosis and treatment of benign liver tissue ectopia in adrenal tumor,so as to improve the understanding of this disease.Methods We reported the data of a rare patient with ectopic liver tissue to adrenal gland admitted in the Department of Urology,Liaocheng Second Hospital Affiliated to Shandong First Medical University and discussed it in conjunction with literature.Results The patient was a 32-year-old male who sought medical attention for more than half a year due to elevated blood pressure and detection of a tumor in the right adrenal gland.Ultrasound and CT examinations showed a tumor in the right adrenal gland,suggesting myeloid lipoma.Laparoscopic right adrenalectomy was performed,and the postoperative pathology showed benign liver tissue ectopia in adrenal tumor,hepatocyte proliferation,steatosis,and slight lymphocyte infiltration.Immunohistochemistry suggested Hep-1(+).During the follow-up of 12 months,the patient recovered well with no complications.Imaging examinations showed no signs of recurrence.Conclusion Benign liver tissue ectopia in adrenal tumor is very rare and is difficult to diagnose preoperatively.Diagnosis is mainly based on pathology,and surgical resection is usually chosen.

关键词

肾上腺肿瘤/肝脏组织/异位肝

Key words

adrenal tumor/liver tissue/ectopic live

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出版年

2024
现代泌尿外科杂志
西安交通大学

现代泌尿外科杂志

CSTPCD
影响因子:1.106
ISSN:1009-8291
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