摘要
目的:总结BosniakⅠ型肾囊性占位病变发生癌变的诊治经验。方法:回顾性分析5例BosniakⅠ型肾囊性恶性病变的B超、CT、病理特征、治疗方法和随访结果:男3例,女2例;年龄42～72岁,平均54岁。患侧腰酸1例,体检发现4例。囊腔直径5.5～8.0cm。术前B超及CT均诊断为肾囊肿。结果:5例均行腹腔镜下肾囊肿去顶术,术后病理检查诊断为透明细胞癌,再次行根治性肾切除术。5例随访6～33个月,4例无瘤存活,1例因心血管疾病死亡。结论:重视BosniakⅠ型肾囊性病变的影像学和病理学特征,术中行冷冻切片病理检查是提高BosniakⅠ型囊性肾癌诊治水平的关键。
Objective：To summarize the diagnosis and treatmenl of Bosniak renal cyst（category Dfor their can- cerization. Methods： The clinical data of 5 cases of Bosniak I renal cyst were anadyzcd retrospectively, mainly about preoperative B uhrasound, CT scan, pathological features, treatment and follow-up resuhs. There were 3 males and 2 females with the average age of 54 years old （ranging from 42 to 72 years old） in this study. Four cases were found renal cyst during annual physical examination, while 1 case complained of sore in waist. The diameters ofcyst raged from 5.5 to 8.0 cm. All cases were diagnosed as renal cyst with uhrasound and CT scan pre-operative- ly. Results： All patients initially received retroperitoneal laparoscopic renal cystectomy. However, radical nephrec- tnmy was performed in all patients after renal clear cell carcinoma was confirmed by pathologic findings. Follow up period ranged from 6 to 33 months. Four in five patients survived with no evidences of cancer recurrence and me- tastasis, except for 1 patient who died of cardiovascular disease. Conclusions： The key to improve the diagnosis and curative rate of Bosniak renal cyst（category Dfor their cancerization are paying attention to the pre-operative ima- ging study, the intra-operative frozen section examination and histopathology results.
出处
《临床泌尿外科杂志》
2012年第6期425-426,430,共3页
Journal of Clinical Urology
关键词
囊性肾癌
肾囊肿
Bosniak分类
根治性肾切除术
cystic renal cell carcinoma
cyst of kidney
bosniak classification
radical nephrectomy
