肾血管平滑肌脂肪瘤是一种少见良性肿瘤,我院经手术病理证实1例,报告如下。患者女性,38岁,因左上腹部间歇性疼痛6个月,近半个月来腹痛后出现血尿伴尿频、尿急、发热等,于1988年12月6 日入院。查体:T38.6℃,Bp18.1/12.0kPa血沉22mm/h,白细胞总数11×10~9/L,中性78％,左肾区触及约12×15cm实性肿物,表面光滑,无明显压痛,活动度差,临床诊断:左肾肿瘤。B型超声检查:左肾肿物内见光点,光团与左肾紧密相连,无液平反射。提示:左肾实质性占位病变。CT检查:左肾肿块密度不均匀,其中有软组织密度及脂肪密度,注射造影剂后扫描肿块未见增强。CT诊断:左肾占位性病变(脂肪密度)考虑畸胎类肿瘤。腹部平片见左肾影增大,选择性左肾动脉造影:左肾上中下部及其相应内外下缘均见广泛扩张,扭曲的肿瘤血管,供应动脉较粗大,左肾下极及外下缘可见 Renal vascular smooth muscle lipoma is a rare benign tumor, our hospital was confirmed by surgical pathology in 1 case, the report is as follows. Female patient, 38 years old, due to intermittent pain in the left upper abdomen for 6 months, nearly half a month after the onset of abdominal pain with urinary frequency, urgency, fever, etc., in December 6, 1988 admission. Examination: T38.6 ℃, Bp18.1 / 12.0kPa erythrocyte sedimentation rate 22mm / h, the total number of leukocytes 11 × 10 ~ 9 / L, 78% of the neutral, touching the left kidney area about 12 × 15cm solid tumors, smooth, No significant tenderness, poor activity, clinical diagnosis: left kidney cancer. B-mode ultrasound: see the light spots in the left renal tumor, light group and the left kidney are closely linked, no level reflex. Tip: The left renal parenchymal lesions. CT examination: the uneven mass of the left renal mass, including soft tissue density and fat density, no increase after scanning the contrast medium injection mass. CT diagnosis: left renal space-occupying lesions (fat density) consider teratocarcinoma. Abdominal plain film to see the left renal shadow increased, selective left renal artery angiography: the upper and lower left middle kidney and its corresponding lower and upper internal and external edges were widely expanded, distorted tumor blood vessels, the supply of larger arteries, the left lower extremity and under the outer kidney Edge can be seen