Zhoushan, China
Zhoushan, China

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PubMed | Zhoushan Hospital Zhoushan, Shaoxing Peoples Hospital Shaoxing and Jining Medical University
Type: Case Reports | Journal: International journal of clinical and experimental pathology | Year: 2015

Renal angiomyolipoma (AML) with epithelial cysts (AMLEC) is a comparatively rare benign renal tumor that is recently recognized as a distinct entity and there are relatively few reported cases in the English-language literature. To date 19 cases of AMLEC have been reported in 2 case series and a few case reports. AMLEC has been described as a cystic variant of AML. Herein we reported an AMLEC in a 25-year-old female patient, and to the best of our knowledge this is the first case report of AMLEC in Chinese. She was incidentally found to have a kidney-occupying lesion during a routine medical examination for 1 month. CT examination demonstrated a multilocular cystic lesions arising from right-kidney lower pole. The patient underwent the partial nephrectomy. Histological examination of the tumor was composed of epithelial cysts, compact subepithelial mullerian-like stroma and muscle-predominant AML. Immunohistochemically, epithelial cysts were positive for CK but negative for ER, PR, CD10 and HMB-45; the subepithelial stroma and muscle-predominant AML were positive for ER, PR and HMB-45; the subepithelial stroma was negative for SMA, but muscle-predominant AML was positive for SMA. The final histopathological diagnosis was AMLEC.


To evaluate the effect of positive end expiratory pressure on the bronchoalveolar lavage fluid (BALF) in pulmonary surfactant (PS) of patient during one lung ventilation anesthesia. Patients undergoing Bullae resection were anesthetized with treatment (n = 12) or control (n = 12) combined anesthesia. Total phospholipid (TPL), saturated phosphatidylcholine (SatPC) and total protein (TP) in the bronchoalveolar lavage fluid (BALF) were measure. The ratio of SatPC/TPL% and SatPC/TP% represented the activity of PS. The thoracic surgery pulmonary surfactant significantly reduced, PEEP can prevent the decrease, but with decreased cardiac output. The end-expiratory pressure breathing can maintain the level of pulmonary surfactant to protect lung function.


Li H.-B.,Zhoushan Hospital Zhoushan | Zhang Y.,Zhoushan Hospital Zhoushan | Gao B.-B.,Zhoushan Hospital Zhoushan | Fu H.-Q.,Zhoushan Hospital Zhoushan | Deng J.-H.,Zhoushan Hospital Zhoushan
National Medical Journal of China | Year: 2010

Objective: To evaluate the effect of positive end expiratory pressure on the bronchoalveolar lavage fluid (BALF) in pulmonary surfactant (PS) of patient during one lung ventilation anesthesia. Methods: Patients undergoing Bullae resection were anesthetized with treatment (n = 12) or control (n = 12) combined anesthesia. Total phospholipid (TPL), saturated phosphatidylcholine(SatPC) and total protein(TP) in the bronchoalveolar lavage fluid(BALF) were measure. The ratio of SatPC/TPL% and SatPC/TP% represented the activity of PS. Results: The thoracic surgery pulmonary surfactant significantly reduced, PEEP can prevent the decrease, but with decreased cardiac output. Conclusion: The end-expiratory pressure breathing can maintain the level of pulmonary surfactant to protect lung function. Copyright © 2012 by the Chinese Medical Association.

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