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目的 加强对囊性肾癌与囊肿并发肾癌的认识 ,提高诊治水平。方法 分析 1989~1999年收治的 38例病案 ,其中囊性肾癌 2 4例 ,囊肿并发肾癌 14例 ,均经手术、病理确诊。结果 诊断准确度达 87% ,3年生存率囊性肾癌 33% ,囊肿并发肾癌 5 6 %。结论 认识囊性肾癌与囊肿并发肾癌在诊断、治疗及预后的异同 ,通过B超及CT可提高诊断的准确率 ,并能正确估计预后。
Objective To strengthen understanding of cystic renal cell carcinoma and cyst with renal cell carcinoma and improve the diagnosis and treatment. Methods A total of 38 cases admitted from 1989 to 1999 were analyzed, including 24 cases of cystic renal cell carcinoma and 14 cases of renal cell carcinoma complicated with cysts, all of which were confirmed by operation and pathology. Results The diagnostic accuracy was 87%. The 3-year survival rate was 33% in cystic renal cell carcinoma and 56% in cyst with renal cell carcinoma. Conclusions The similarities and differences in diagnosis, treatment and prognosis of cystic renal cell carcinoma and cyst with renal cell carcinoma are recognized. The accuracy of diagnosis can be improved by B ultrasound and CT, and the prognosis can be correctly estimated.