33 cases of renal oncocytoma report and review of the literature.docVIP

 PAGE \* MERGEFORMAT 10 33 cases of renal oncocytoma report and review of the literature [Keywords:] Renal oncocytoma Renal oncocytoma is a rare benign tumor of the kidney, the current domestic reported less preoperative diagnosis very difficult. The Shangyu City People’s Hospital reported three cases of admitted cases and literature review aimed at improving the diagnosis and treatment of this disease. Are reported below. A clinical data Case 1: female, 59 years old. You Yao in January due to pain in July 8, 2006 admission, physical examination: blood pressure 100/60mmHg, pulse 72 beats / min, respiration 20 beats / min, body temperature 37.2 ℃ , plain abdominal soft, no tenderness, without having mass, kidneys area pain-free call-in. Auxiliary examination: urine occult blood 3, liver and kidney functions, chest X-ray ECG were normal. B-shows the upper pole of right kidney shows solid mass, to extrarenal prominent, about the size of 4cm * 3cm * 3cm, uneven internal echo. CT prompted the upper pole of right kidney 4cm * 3cm * 3cm mass, highlighting on the kidney surface, the density slightly higher than the normal renal parenchyma, the enhanced heterogeneous enhancement within the mass low-density areas, consider the right kidney. On July 12 that year under the right kidney laparoscopic radical resection, intraoperative see the right renal upper pole of the tumor to the kidney surface processes, not involving the perirenal fat capsule fascia, renal pedicle without enlarged lymph nodes. Pathology: Tumor facets sallow and fine, clear boundaries, no envelope. Microscopic tumor cells were round or polygonal, abundant cytoplasm, eosinophilic granular, nuclear round the middle, a small number of large deep-staining nuclei of tumor cells were nest-like arrangement of small interstitial cells, edematous. Pathologic diagnosis: Renal oncocytoma. Discharged from hospital after 6d. Case 2: male, 43 years old. You Yao because of gross hematuria associated with pain 3 d