A Very Small Juxtaglomerular Cell Tumor Preoperatively Identified by Magnetic Resonance Imaging.

  • TANABE Akiyo
    The Department of Medicine, Institute of Clinical Endocrinology
  • NARUSE Kiyoko
    The Department of Medicine, Institute of Clinical Endocrinology
  • KONO Atushi
    The Radiology, Kidney Center, Tokyo Women's Medical College
  • HASE Mitsuyasu
    The Department of Medicine, Institute of Clinical Endocrinology
  • HASHIMOTO Yasunobu
    The Department of Urology, Kidney Center, Tokyo Women's Medical College
  • NAKAZAWA Hayakazu
    The Department of Urology, Kidney Center, Tokyo Women's Medical College
  • NARUSE Mitsuhide
    The Department of Medicine, Institute of Clinical Endocrinology
  • DEMURA Reiko
    The Department of Medicine, Institute of Clinical Endocrinology
  • DEMURA Hiroshi
    The Department of Medicine, Institute of Clinical Endocrinology
  • TOMA Hiroshi
    The Department of Urology, Kidney Center, Tokyo Women's Medical College

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We describe a 31-year-old man. Although the plasma renin activity (PRA) and plasma aldosterone concentration (PAC) were elevated, computed tomography and rapid sequence pyelography disclosed no abnormality. However, based on the findings of the small tumor (8×8 mm) in the kidney visualized by magnetic resonance imaging (MRI) and excessive PRA in the right renal vein, tumor resection was performed. The positive immunohistochemical staining of renin and the visualization of renin mRNA by in situ hybridization provided evidence supporting the diagnosis of Juxtaglomerular cell tumor. Blood pressure, PRA, and PAC were normalized after the surgery. The observations suggest that MRI is a powerful diagnostic procedure in small Juxtaglomerular cell tumor.<br>(Internal Medicine 35: 295-300, 1996)

収録刊行物

  • Internal Medicine

    Internal Medicine 35 (4), 295-300, 1996

    一般社団法人 日本内科学会

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