囊性肾癌5例诊治体会

• 作 者: 赵积晔 田兵 李猛 尹鹏
• 机 构: 辽宁省大连大学附属新华医院泌尿外科,
• 出 处: 中国实用医药
• 发表日期: 2010年05期
• 关键词: 肾肿瘤 囊性 肾细胞癌

目的探讨囊性肾癌(RCC)的诊断与治疗。方法复习文献对例5囊性肾癌的临床、超声及CT的特点以及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2例;CT诊断囊性肾癌3例,2例诊断肾囊肿,肿瘤不能除外。术后病理回报均为透明细胞癌。5例均行根治性肾切除术。随访1～5年无复发。结论熟悉囊性肾癌的影像学特点是提高囊性肾癌诊断率的关键。

Objective To investigate the diagnosis and treatment of cystic renal cell carcinoma (RCC). Methods Retrospective literature review of 5 cases of cystic renal cell carcinoma, ultrasound and CT features and surgical methods and prognosis were retrospectively analyzed. Results Preoperative ultrasound diagnosis of cystic renal cell carcinoma in 2 cases; CT diagnosis of cystic renal cell carcinoma in 3 cases, 2 cases of diagnosis of renal cysts, the tumor can not be excluded. Postoperative pathological findings were clear cell carcinoma. Five patients underwent radical nephrectomy. Follow-up 1 to 5 years without recurrence. Conclusion Familiar with the imaging features of cystic renal cell carcinoma is the key to improve the diagnosis rate of cystic renal cell carcinoma.