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目的 :提高对囊性肾癌的认识。方法 :对 7例囊性肾癌的临床、超声及CT的特点 ,以及病理学特征、手术方式和预后进行回顾性分析。结果 :术前超声诊断囊性肾癌 4例 ,CT诊断囊性肾癌 7例 ;术后病理诊断肾癌囊性坏死 5例 ,多房性囊性肾癌 1例 ,单纯性囊肿恶变 1例。 5例行根治性肾切除术 ,1例行肾部分楔形切除术 ,1例行肿瘤切除术。 6例获随访 ,5例生存至今。结论 :熟悉囊性肾癌的病理学特征及影像学的特点是提高囊性肾癌诊断率的关键
Objective: To improve the understanding of cystic renal cell carcinoma. Methods: The clinical, ultrasonographic features and CT features of 7 patients with cystic renal cell carcinoma were retrospectively analyzed as well as the pathological features, operation methods and prognosis. Results: Preoperative ultrasound diagnosis of cystic renal cell carcinoma in 4 cases, CT diagnosis of cystic renal cell carcinoma in 7 cases; postoperative pathological diagnosis of renal cystic necrosis in 5 cases, 1 case of multilocular cystic renal cell carcinoma, 1 case of simple cyst malignancy . 5 cases of radical nephrectomy, 1 case of partial wedge resection of the kidney, 1 case of tumor resection. Six patients were followed up and 5 survived to this day. Conclusion: Familiar with the pathological features of cystic renal cell carcinoma and imaging features is to improve the diagnostic rate of cystic renal cell carcinoma