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좌측 신장을 침범한 특발성후복막강섬유증의 1예 : A case of Idiopathic Retroperitoneal Fibrosis involving the Left Kidney
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- Authors
- Issue Date
- 1978-09
- Publisher
- 서울대학교 의과대학
- Citation
- Seoul J Med, Vol.19 No.3, pp. 96-102
- Abstract
- Idiopathic retroperitoneal librosis is a rare disease
which is characterized by the formation of a dense
fibrous plaque in the rctroperitoneum
The basic pathologic picture is one of a proliferative
fibrotic reaction involving the retroperitoneal tissues
associated with a chronic inflammatory response.
We experienced a case of idiopathic retroperitoneal
librosis which involved the left kidney in a
42-year-old man who had a history of gastrectomy
for peptic ulcer perforation 10 years ago. The abdominal
mass was explored and a large retroperitoneal
mass was removed under an impression of malignant
tumor. The mass was located in left perirenal tissue, displacing the kiney upward and medially. The tumor
mass was lobulated , well circumscribed. It measured
25 x 17x4cm. in maximum dimensions and I. 7kg in
weight. Microscopically , the vast majority of the
tumor consisted of a dense collagen fibrosis admixed
with islands of fat tissue where some fibroblastic
activity was seen. Bizarre giant cells were also noted
in the midst of seemingly inactive fibrotic process
Perivascular inflammatory cell infiμration was another
prominent feature throughout the slides , and it was
more pronounced around venous channels. A small
area of superficial kidney just beneath the involved
capsule , showed focal but irregular invasion of fibrotic
process into the parenchyma and was associated
with rather heavy inflammatory response, perivascultis
and glomerular hyalinization
- ISSN
- 0582-6802
- Language
- Korean
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