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目的:探讨肾结石合并肾盂癌的临床诊治要点及预后。方法:回顾性分析我院2008年9月~2013年3月收治的4例肾结石合并肾盂鳞状细胞癌患者的临床资料。4例患者术前均经CT及MRI诊断肾结石合并肾盂肿瘤,行根治性肾盂癌切除术,术后病理诊断为肾结石合并肾盂鳞状细胞癌。结果:除1例失访外,3例患者随访6个月~3年,分别于术后6个月、15个月及3年死于肿瘤多处转移。结论:有长期肾结石病史的患者,需考虑合并肾盂癌的可能,CT及MRI是诊断肾结石合并肾盂癌的重要检查方法;本病预后极差,需重视肾结石合并肾盂癌的早期诊断及治疗。
Objective: To investigate the clinical diagnosis and prognosis of renal pelvis combined with renal pelvic cancer. Methods: A retrospective analysis of our hospital from September 2008 to March 2013 admitted 4 cases of renal calculi associated with renal squamous cell carcinoma of the clinical data. Four patients were diagnosed by CT and MRI of renal pelvis with renal pelvis tumor before radical resection of renal pelvis cancer, postoperative pathological diagnosis of kidney stones with renal squamous cell carcinoma. Results: Except for one case of follow-up, 3 patients were followed up for 6 months to 3 years, and died of multiple metastases at 6 months, 15 months and 3 years after operation. Conclusion: Patients with long history of nephrolithiasis need to consider the possibility of renal pelvis cancer. CT and MRI are the important methods to diagnose nephrolithiasis and renal pelvis cancer. The prognosis of this disease is extremely poor. treatment.