摘要
目的 提高对囊性肾癌的认识。 方法 对 1982～ 1997年收治的 15例囊性肾癌的临床特点、影像学、病理学特征及治疗预后情况进行回顾性分析。 结果 术前影像学检查提示囊肿相关肾占位性病变 12例 ,其中伴钙化 5例 ,单纯性囊肿 3例 ;术中活检发现癌变 2例 ,多房囊肿性肾癌 1例。 15例均行根治性肾切除术。 13例获随访 ,存活时间 3个月～ 8年 ,平均 3.2年。 结论 囊性肾癌有其独特的临床、影像及病理学特征 ,对不符合典型单纯性肾囊肿性病变应考虑存在囊性肾癌的可能。
Objective To enhance the understanding of cystic renal cell carcinoma. Methods A retrospective study was made on clinical features,image characteristics,clinicopathology and prognosis of 15 cases of cystic RCC treated from 1982 to 1997. Results Preoperative imaging procedures suggested renal cyst relative masses in 12 cases, 5 of which accompanied by calcification.The other were considered as pure cysts, two of which were proven as carcinomas originated from cysts on intraoperative biopsy and the other multiple cell cystic RCC. Radical nephrectomy was performed in all the 15 patients. Thirteen patients have been followed up. Their survival periods ranged 3 months to 8 years with an average of 3.2 years. Conclusions Cystic RCC has its specific clinicopathological characteristics. This type of RCC should be considered if the image features are not consistent with typical simple cyst.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第7期407-408,共2页
Chinese Journal of Urology
