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2018, vol. 52, br. 2, str. 79-84
Primarni retroperitonealni mucinozni cistadenom – prikaz slučaja
aVojnomedicinska akademija, Klinika za nefrologiju, Beograd
bKlinički centar Srbije, Urgentni centar, Klinika za urgentnu hirurgiju , Beograd
cKlinički centar Srbije, Služba za patohistologiju, Beograd
dVojnomedicinska akademija, Institut za naučne informacije, Beograd

e-adresadrmilicapetrovic@gmail.com
Ključne reči: cistični tumor; cista bubrega; diferencijalna dijagnoza; histopatologija; mucinoznicistadenom; retroperitoneum
Sažetak
Cilj. Neophodna je blagovremena dijagnostika, dobra preoperativna priprema radi sprečavanja mogućih komplikacija od samog tumora (infekcija, ruptura, opstrukcije susednih organa zbog pritiska ili maligna alteracija). Prikaz slučaja. Kod bolesnice stare 50 godina slučajnim ultrazvučnim pregledom iza levog bubrega u reteroperitoneumu viđena je cistična formacija nepravilnog oblika dimenzija 88 x 77 mm, glatkih zidova, s prisustvom na dnu nekoliko malih cističnih formacija, te se diferencijalno dijagnostički razmišljalo o ehinokoknoj cisti. Urađeni su IHA Echinococcosis i ELISA Echinococcosis koji su bili negativni. Na osnovu nalaza CT abdomena zaključeno je da je reč o retroperitonealnom tumoru infrarenalno levo. S obzirom na veličinu tumorske (TU) promene, gustinu i kalcifikacije zida savetovano je da se uradi MR abdomena i male karlice. MR-om su oba bubrega opisana kao bubrezi uredne veličine, bez hidronefroze i kalkuloze. U levom bubregu opisana je cista oko 20 mm, a kaudalno od levog bubrega i između crevnih vijuga uočena je lobulirana delom multilokularna cistična promena dijametra 92 x 76 mm. Zbog bolova u trbuhu i subokluzivnih tegoba hirurškim putem je u celosti odstranjena TU promena dimenzija 100 x 70 x 80 mm. PH nalaz je ukazao na cistadenom mucinosum retroperitonei. Zaključak. Primarni retroperitonealni mucinozni cistadenom neophodno je operativno ukloniti u potpunosti radi prevencije njegove maligne alteracije.
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O članku

jezik rada: srpski
vrsta rada: prikaz slučaja
DOI: 10.5937/mckg52-17112
objavljen u SCIndeksu: 10.01.2019.

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