囊性肾癌的诊断和治疗  

Diagnosis and treatment of cystic renal cell carcinoma

作　　者：杨建伟[1] 李纲[1] 严春寅[1] 温端改[1] 侯健全[1] 王振杰[1] 

机构地区：[1]苏州大学附属第一医院泌尿外科,215006

出　　处：《江苏医药》2009年第1期52-53,共2页Jiangsu Medical Journal

摘　　要：目的分析囊性肾细胞癌(囊性肾癌)的临床特征,提高对囊性肾癌的诊疗水平。方法回顾性分析16例囊性肾癌患者的临床资料,并复习文献,探讨本病的特征、诊断及治疗。结果16例患者均行CT检查,1例CT表现符合Bosniak分型中的Ⅱ型,3例符合Ⅲ型,12例符合Ⅳ型。13例行肾癌根治性切除术,3例行肾部分切除术。中位随访时间39.2个月,无复发和转移。结论CT表现符合Bosniak分型中的Ⅳ型是囊性肾癌诊断的依据,术中对囊壁不规则部位作快速病理是确诊的重要手段,治疗以肾癌根治性切除术和肾部分切除术为主。Objective To summarize the clinical characteristics of cystic renal cell carcinoma （CRCC） and improve the diagnostic and therapeutic methods of CRCC. Methods The clinical data of 16 cases with CRCC were retrospectively analyzed. The clinical features as well as diagnostic and therapeutic methods were discussed in combination with the relevant literatures review. Results All of 16 patients underwent CT scanning. According to Bosniak classification, 1 case was classified as category Ⅱ, 3 cases as category Ⅲ, 12 cases as category Ⅳ. Radical nephrectomy was performed in 13 cases and partial nephrectomy was performed in 3 cases. All of 16 patients have been followed-up for a median period of 39.2 months with no evidence of tumor recurrence and metastasis. Conclusion The category iV of Bosniak classification on renal CT scaning is the key to the diagnosis of CRCC. Intraoperative pathological examination in irregular wall of the cysts is an important diagnostic tool. Nephrectomy and partial nephrectomy are both effective therapeutic methods for CRCC.

关 键 词：囊性肾细胞癌 

分 类 号：R692[医药卫生—泌尿科学]