肾脏癌肉瘤(附3例报告)  

Renal Carcinosarcoma:A Rport of 3 cases

作　　者：赵志红[1] 张爱利[1] 倪晓辰[1] 洪声涛[1] 

机构地区：[1]河北医科大学第四附属医院泌尿外科,石家庄市050011

出　　处：《中国肿瘤临床》2006年第1期49-50,共2页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨肾脏癌肉瘤的诊断和治疗。方法:报告3例肾脏癌肉瘤病例资料,2例为男性,1例为女性,年龄60～78岁,以腰痛,腹部肿块或者肉眼血尿就诊,术前诊断为肾脏肿瘤。结果:3例均行根治性肾切除术,术后病理检查为肾癌肉瘤,3例均经免疫组化证实;3例均未行放化疗,行生物免疫治疗,分别于术后10个月,6个月,5个月死于肿瘤远处转移。结论:肾脏癌肉瘤临床罕见,术前诊断困难,诊断依靠病理学检查,免疫组化有助于诊断,本病恶性度高,预后差,早期行根治性切除术及综合治疗有助于提高生存率。Objective： To evaluate the diagnosis and treatment of the renal carcinosarcoma. Methods： Three cases of renal carcinosarcoma were reviewed. Results： Three cases underwent radical nephrectomy. The carcinosarcoma were proved postoperatively in three cases by pathology. Three patients died of the disease 10 months 6 months 5 months after operation. Conclusions： The renal carcinosarcoma is rare and is difficult to be diagnosed preoperatively and immunohistochemistry are helpful for its diagnosis.

关 键 词：肾脏肿瘤 癌肉瘤 病理检查 生物免疫治疗 

分 类 号：R737.11[医药卫生—肿瘤]