摘要
目的探讨重复肾合并肾肿瘤的诊断和治疗,提高对重复肾并肾肿瘤的认识并提供临床正确诊治此类疾病的参考。方法回顾分析3例重复肾并发肾肿瘤患者的临床资料,其中男性2例,女性1例,年龄52～62岁。并发肾盂癌1例,肾乳头状细胞癌1例,肾肉瘤样癌并腔静脉瘤栓1例。结果 1例行经腹腔镜肾部分切除术,随访2年1个月未见复发;1例行手助腹腔镜肾输尿管全长及膀胱袖状切除术,随访10个月未见复发;1例行肾癌根治术及下腔静脉取栓术,随访10个月未见复发。结论 B超可作为重复肾并肾肿瘤的早期筛查方法;CTU可用于了解泌尿系统的立体结构,大概明确肿瘤性质和肿瘤位置;逆行尿路造影可检查是否合并膀胱病变和进一步确定肿瘤位置。该类患者多需要通过手术治疗,根据肿瘤大小、位置和是否合并瘤栓选择术式,术后化疗则根据病理结果。
Objective To investigate the diagnosis and treatment of duplicated kidney complicated with renal carcinoma.Methods The clinical data of 3 cases of duplicated kidney complicated with renal carcinoma were retrospectively analyzed.The 3 cases consisted of 2 male and 1 female patients,52~ 62 years old,complicated with carcinoma of renal pelvis,papillary renal cell carcinoma and sarcomatoid renal cell carcinoma respectively.Results One case who received laparoscopic partial nephrectomy did not recur during the follow-up of 25 months.One case that underwent hand-assisted laparoscopic nephroureterectomy with bladder sleeve resection did not recur during the follow-up of 10 months.And the other case survived so far without recurrence after being operated with radical nephrectomy and thrombectomy 10 months ago.Conclusions B ultrasound can serve as early screening method for duplicated kidney complicated with renal carcinoma;CTU can show the three-dimensional structure of urological system,location and probable property of tumor.Retrograde urography can find out the concurrent bladder lesion and confirm the location of carcinoma.Surgeries are needed for these patients;the detailed procedures depend on the size and location of tumor and concurrent embolus.Postoperative chemotherapies are needed according to the pathological results.
出处
《现代泌尿外科杂志》
CAS
2013年第2期158-161,共4页
Journal of Modern Urology
关键词
重复肾
肾肿瘤
全程血尿
卡介苗膀胱灌注
膀胱镜
duplicated kidney
renal carcinoma
total hematuria
BCG vaccine bladder filling
cystoscope
