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目的:探讨肾脏炎性肌纤维母细胞瘤(Inflammatory myofibroblastic tumor,IMT)的临床特点及诊断治疗方案,提高对该病的认识。方法:报告l例74岁老年女性肾脏IMT病例,并复习相关文献。结果:患者行左肾根治性切除术,术后恢复良好。病理检查证实为肾脏IMT。结论:肾脏IMT主要表现为局部压迫或梗阻造成相应临床症状,与恶性肿瘤不易鉴别,其确诊有赖于病理学检查。肾脏IMT治疗需行外科手术治疗,并在治疗后进行随访。
Objective: To investigate the clinical features, diagnosis and treatment of renal inflammatory myofibroblastic tumor (IMT) and to improve the understanding of the disease. Methods: A case report of renal IMT in 74 elderly women was reviewed and related literature reviewed. Results: The patients underwent radical nephrectomy and recovered well after operation. Pathological examination confirmed renal IMT. Conclusion: The main manifestations of renal IMT are local compression or obstruction caused by the corresponding clinical symptoms, and malignant tumors is not easy to identify, its diagnosis depends on the pathological examination. Nephrotic IMT is treated surgically and followed up after treatment.