囊性肾癌的诊断和治疗  

Diagnosis and Treatment of Cystic Renal Cell Carcinoma

作　　者：马可为[1] 云志中[1] 汪东[1] 刘德斌 

机构地区：[1]内蒙古自治区医院泌尿外科,内蒙古呼和浩特010017 [2]内蒙古自治区人民检察院技术处,内蒙古呼和浩特010011

出　　处：《内蒙古医学杂志》2007年第12期1443-1444,共2页Inner Mongolia Medical Journal

摘　　要：目的：提高对囊性肾癌的认识。方法：对1997～2006年收治的8例囊性肾癌的诊断、治疗、预后等资料进行回顾性分析。结果：术前超声诊断囊性肾癌5例，CT诊断囊性肾癌6例，术中冰冻切片提示恶性肿瘤2例；7例行根治性肾切除术，1例行肾部分切除术；术后病理均为囊性肾透明细胞癌。8例获随访，7例生存至今。结论：囊性肾癌的诊断主要依靠影像学及病理学检查，确诊后应行根治性肾切除术或部分肾切除术。Objective：To improve the ability of diagnosis and treatment ofcystic renal cell carcinoma. Methods：From 1997 to 2006, the clinical data including diagonosis, treatment and prognosis in 8 cases of cystic renal cell carcinoma were retrospectively analyzed. Results： Before surgery, 5 cases were diagnosed as cystic reneal cell carcinoma by ultrasound, 6 cases by CT, 2 cases were diagnosed as malignant tumor by intraoperative frozen section. Radical nephrectomy was carried out in 7 cases and partial nephrectomy. All the 8 cases were confirmed as cystic renal clear cell carcinoma on pathology. 7 of 8 cases were still alive during follow - up duration. Conclu- sion： Cystic renal cell carcinoma can be diagnosed more accurately with the help of images and pathological examination. Radical nephrectomy and partial nephrectomy should be performed after diagnosis.

关 键 词：肾肿瘤 囊性肾细胞癌 

分 类 号：R737.1[医药卫生—肿瘤]