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首页> 外文期刊>International journal of surgical pathology >Subepithelial pelvic hematoma (Antopol--Goldman lesion) simulating renal neoplasm: report of a case and review of the literature.
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Subepithelial pelvic hematoma (Antopol--Goldman lesion) simulating renal neoplasm: report of a case and review of the literature.

机译：模拟肾肿瘤的上皮下盆腔血肿（Antopol-Goldman病变）：一例病例报告并复习文献。

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摘要

The Antopol-Goldman lesion is a subepithelial pelvic hematoma simulating a renal neoplasm. We report the clinico-pathological features of a single case and a review of the literature. A 76-year-old man presented with flank pain and hematuria. Computed tomography showed a hypodense lesion of 6 cm at the left kidney with filling defect at pyelogram. The patient underwent nephroureterectomy for suspected neoplasm. Macroscopically, a mass of 6 cm was present impinging on the pelvi-caliceal system. Microscopically, the lesion was composed by hemorragic material with feature of an hematoma. A diffuse eosinophilic amorphous material suspicious for amyloid was observed among intra- and extraparenchymal vessels. The Congo-Red staining verified the presence of amyloid. The diagnosis was subepithelial pelvic hematoma with severe amyloidosis. Antopol-Goldman lesion should be kept in mind as a possible differential diagnosis of upper urinary tract lesion to avoid unnecessary nephrectomies. The anamnestic knowledge of amiloydosis may increase this diagnostic hypothesis.
机译：Antopol-Goldman病灶是模拟肾肿瘤的上皮下盆腔血肿。我们报告了单个病例的临床病理特征并回顾了文献。一名76岁的男子出现了侧腹疼痛和血尿。计算机体层摄影术显示左肾有6 cm的低密度病变，在肾盂造影处有充盈缺损。该患者因怀疑有肿瘤而接受了肾结直肠切除术。肉眼可见，有6厘米的肿块撞击在骨盆-颅骨系统上。在显微镜下，病变由具有血肿特征的出血性物质组成。在实质内和实质外血管之间观察到可疑的淀粉样蛋白的弥漫性嗜酸性无定形物质。刚果红染色证实了淀粉样蛋白的存在。诊断为上皮下盆腔血肿伴严重淀粉样变性。应牢记Antopol-Goldman病变，作为上尿路病变的可能鉴别诊断，以避免不必要的肾切除术。阿米虫病的记忆知识可能会增加这一诊断假设。

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