肾嫌色细胞癌的诊断和治疗  

Renal chromophobe cell carcinoma (report of 24 cases)

作　　者：蒋志云[1] 任国平[2] 俞斌[1] 张志根[2] 王金泉[3] 张兴林[1] 陈健 李伟华 丁伟[2] 谢立平[2] 

机构地区：[1]余姚市人民医院,315400 [2]浙江大学医学院附属第一医院 [3]中国人民解放军第117医院

出　　处：《浙江医学》2004年第9期644-645,714,共3页Zhejiang Medical Journal

基　　金：浙江省医药卫生科学研究基金资助项目2000B091

摘　　要：目的提高肾嫌色细胞癌的诊治水平。方法复习24例肾嫌色细胞癌的临床病理资料,重新观察每例HE光镜切片,所有病例均行免疫组化检查,部分病例行胶体铁染色。结果3例行肾部分切除术,其余行根治性肾切除术,15例随访6～110个月(平均34个月),2例术后1.5～2年死于癌转移,其余无瘤存活。结论肾嫌色细胞癌是一种低度恶性、预后较好的肿瘤,病理诊断是关键,宜及早手术,提倡在术中快速病理诊断指导下决定手术方式。Objective To evaluate the diagnosis, treatment and prognosis of renal chromophobe cell carcinoma (RCCC). Methods The clinicopathological da ta of 24 cases of RCCC were retrospectively reviewed. The HE staining, Hale's c olloidal iron staining and immunohistochemical staining on tissue slides were pe rformed. Results Twenty-one cases underwent radical nephrectomy and 3 cases par tial nephrectomy. On follow up for 6-110 months, 21 patients survived with tumor free. Conclusion RCCC is a tumor with low malignant potential and favorable pr ognosis. Definite diagnosis depends on pathological features. Open operation is a favorable choice of treatment.

关 键 词：肾嫌色细胞癌 诊断 治疗 免疫组化检查 切除术 影像学表现 

分 类 号：R737.11[医药卫生—肿瘤]