摘要
目的提高对囊性肾癌的认识,减少误诊和漏诊。方法回顾性分析我院2001年1月～2007年1月235例肾癌患者中11例(4·68%)囊性肾细胞癌患者的病例资料,分析其临床表现、影像学特征、临床治疗及预后情况。结果11例患者中8例行肾癌根治术,3例行肾部分切除术。多房囊性肾癌8例,单房囊性肾癌3例。肿瘤大小为6·9cm×5·5cm×4·7cm。透明细胞癌9例,嫌色细胞癌2例。11例均获随访,随访时间3～61个月,平均27·9个月。无瘤存活10例。结论囊性肾癌同肾癌一样采用肾癌根治术或肾部分切除术治疗,效果满意,预后佳。
Objective To enhance the understanding of cystic renal cell carcinoma （CRCC） and to reduce the chance of misdiagnosis and missed diagnosis. Methods A retrospective study was made on clinical features, imaging and clinical treatment and prognosis of 11 cases （4. 68% ） of CRCC treated from January 2001 to January 2007 in our department. Results In the 11 cases of CRCC, 8 cases were received radical nephrectomy and 3 cases were received partial nephrectomy. There were 8 cases of multilocular cystic RCC , and 3 cases of unilocular cystic RCC. The mean three - dimensional diameter of the tumors was 6. 9 cm × 5.5 cm ×4.7 cm. Histological examination showed that 9 cases were of clear cell carcinoma and 2 cases of Chromophobe carcinoma. All 11 patients have been followed up for 3 -61 months （ averaged 27.9 months） and 10 patients survived with no evidence of cancer recurrence. Conclusion Cystic renal cell carcinoma refers to a special type of renal carcinomas with cystic features in imaging and general pathology. Nephrectomy or partial nephrectomy is indicated. The outcome and prognosis are excellent.
出处
《中国全科医学》
CAS
CSCD
2007年第16期1376-1377,共2页
Chinese General Practice
关键词
肾肿瘤
囊性肾癌
诊断
预后
Kidney neoplasms
Cystic kidney cancer
Diagnosis
Prognosis
