分子影像学杂志2025，Vol.48Issue(9)：1093-1098,6.DOI:10.12122/j.issn.1674-4500.2025.09.06
基于不同肾功能的多发肾血管瘤的临床、影像表现及鉴别诊断
Clinical,radiographic manifestations and differential diagnosis of multiple renal hemangiomas:based on different renal functions
摘要
Abstract
Objective To evaluate the clinical,pathological,and imaging characteristics of multiple renal hemangiomas in different renal functions,namely end-stage renal disease(ESRD)and non-ESRD.Methods A retrospective analysis was performed on 1 case of ESRD-related multiple renal hemangioma confirmed by surgery in Shanxi Bethune Hospital(Shanxi Academy of Medical Sciences)on April 2017.Additionally,23 cases of pathologically confirmed multiple renal hemangiomas patients from 1980 to 2023 were collected from the PubMed database.They were divided into the ESRD group and non-ESRD group according to renal function status.The clinical basic conditions,imaging features,treatment methods,and prognosis of the two groups were analyzed.Results The ESRD group included 19 cases(79.2%),and the non-ESRD group included 5 cases(20.8%).Males were more common.There were no statistically significant differences between the two groups in terms of age,gender,clinical symptoms,tumor side,location,and concomitant renal epithelial tumors(P>0.05).Extramedullary hematopoiesis was only observed in the ESRD group,with a statistically significant difference(P<0.05).Except for the 1 case in our hospital,5 patients were followed up for an average of 16 months,and no signs of tumor recurrence or metastasis were found.Conclusion Multiple renal hemangiomas are rare and mostly occur in the kidneys with ESRD.There were no significant differences in gender,age,clinical features,and imaging manifestations between multiple renal hemangiomas in ESRD and non-ESRD,but there were differences in extramedullary hematopoiesis.关键词
肾血管瘤/终末期肾病/计算机断层成像/磁共振成像Key words
renal hemangiomas/end-stage renal disease/computed tomography/magnetic resonance imaging引用本文复制引用
许若梅,武志峰,吴山,郭东强..基于不同肾功能的多发肾血管瘤的临床、影像表现及鉴别诊断[J].分子影像学杂志,2025,48(9):1093-1098,6.基金项目
山西省科技战略研究专项一般项目(202404030401182) （202404030401182）
