多房性囊性肾瘤的诊断与治疗  

Multilocular cystic nephroma (report of 5 cases)

作　　者：梁月有[1] 梅骅[1] 黄正宇[1] 戴宇平[1] 郑克立[1] 丘少鹏[1] 钟觉民[2] 

机构地区：[1]中山大学附属第一医院泌尿外科,广州510080 [2]中山大学中山医学院病理教研室

出　　处：《中华泌尿外科杂志》2005年第7期443-445,共3页Chinese Journal of Urology

摘　　要：目的提高对多房性囊性肾瘤(MLCN)的诊断和治疗水平。方法回顾性分析5例MLCN患者的临床资料并结合文献探讨本病的特点、诊断和治疗。男3例,年龄分别为8、51、67岁;女2例,年龄为40、45岁。临床表现为肉眼血尿1例,腹部包块1例,无症状体检发现3例。均为单发,大小1.5cm×2.0cm～11.0cm×5.5cm。5例均行B超、IVU和CT检查。结果B超诊断MLCN1例、肾囊肿2例、囊性肾癌2例;CT诊断MLCN2例,囊性肾癌2例、未定性1例;IVU均未定性。行肾脏切除术3例,肿瘤剜除术2例。术后病理诊断均为MLCN。随访6～25个月均未见复发,肿瘤剜除者患侧肾功能良好。结论影像学检查是MLCN的重要检查手段,保留肾单位的肿瘤切除术是本病的首选治疗方法。Objective To improve the diagnostic and therapeutic methods of multilocular cystic nephroma (MLCN). Methods The clinical data of 5 cases (3 men at the age of 8,51 and 67 years;2 women at the age of 40 and 45 years,respectively) of MLCN were retrospectively analyzed;and in combination with the relevant literature the clinical features,diagnosis and therapy of this disease were explored.Among the 5 cases,1 presented with macroscopic hematuria and 1 with abdominal mass;for the other 3 with no symptoms,the tumors were found accidentally during physical examination.The tumors were all solitary and were 1.5 cm×2.0 cm to 11.0 cm×5.5 cm in size.B-ultrasound,IVU and CT were performed in all 5 cases. Results On B-ultrasound,1 case was diagnosed with MLCN,2 with renal cyst and 2 with cystic renal carcinoma.On CT,2 cases were diagnosed with MLCN,2 with cystic renal carcinoma and 1 with uncertain diagnosis.On IVU,the diagnosis was not established in all 5 cases.Three cases underwent nephrectomy and 2 cases underwent enucleation of the tumors with nephron-sparing surgery.Postoperative pothology showed MLCN in all the 5 cases.During a follow-up of 6-25 months,the patients were well with no evidence of recurrence. Conclusions Imaging examinations are important means for detection of MLCN,and nephron-sparing resection of tumor is a primary and effective therapeutic method for this disease.

关 键 词：多房性囊性肾瘤 诊断与治疗 术后病理诊断 囊性肾癌 回顾性分析 诊断和治疗 肾脏切除术 肿瘤剜除术 影像学检查 肿瘤切除术 保留肾单位 治疗水平 临床资料 肉眼血尿 临床表现 腹部包块 CT检查 B超诊断 CT诊断 检查手段 

分 类 号：R737.11[医药卫生—肿瘤] R694.3[医药卫生—临床医学]