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由于肾源性间叶瘤的术前诊断准确率低,术后病检也易误诊,本文通过本组病例,在复习原始资料后,将其切片作了进一步仔细的复阅,并从中观察到形态结构较复杂,尤其是所含平滑肌成分常显示生长活跃,有一定异型改变,且肿瘤组织又常侵入到正常肾实质内,然而这并非恶性特征。同时结合临床症状,检查手段等,探讨其提高术前诊断率的措施。并结合临床病理学特点,提出了术后病检的正确诊断要点及手术治疗的适宜方法,可进一步提高对本病的诊治水平。
Because of the low accuracy of preoperative diagnosis of nephrogenic mesothelioma, postoperative pathological examination is also easy to misdiagnosis, this article through this case, after reviewing the original data, the slice was further carefully reviewed, and from the observed Morphology and structure more complex, especially the smooth muscle components often show growth is active, there are some abnormal changes, and tumor tissues often invade the normal renal parenchyma, however, this is not a malignant feature. At the same time combined with clinical symptoms, examination methods, to explore its measures to improve the preoperative diagnosis rate. Combined with clinicopathological features, put forward the correct diagnosis of postoperative pathological examination and surgical treatment of appropriate methods to further improve the diagnosis and treatment of the disease.