乳头状肾细胞癌的临床诊治  

Clinical Diagnosis and Treatment of Papillary Renal Cell Carcinoma

作　　者：马炎[1] 刘勇[1] 王浦[1] 

机构地区：[1]青岛大学医学院附属医院泌尿外科,山东青岛266003

出　　处：《中国现代医生》2009年第2期3-4,9,共3页China Modern Doctor

摘　　要：目的提高对乳头状肾细胞癌的诊治水平。方法回顾性分析我院2002年1月～2007年1月205例肾癌患者中15例(7.3%)乳头状肾细胞癌患者的病历资料,分析其临床表现、病理学及影像学特征、临床治疗及预后情况。结果15例患者中11例行肾癌根治术,4例行肾部分切除术。15例均获随访,随访时间10～70个月,除2例患者分别于术后15、21个月死于转移外,其余患者均无瘤生存。结论乳头状肾细胞癌是一种比较少见的肾细胞癌,其确诊有赖于病理检查,治疗仍以手术为主,预后较好。Objective To improve the diagnosis and treatment of papillary renal cell carcinoma （PRCC）. Methods A retrospective study was made on clinical manifestation,pathological and imageology features,clinical treatment and prognosis of 15 cases （7.3%）of PRCC treated from January 2002 to January 2007 in our department. Results In the 15 cases of PRCC, 11 cases received radical nephrectomy and 4 cases received partial nephrectomy. All 15 patients have been followed up for 10 - 70 months. 2 case died of tumor metastasis at 15 and 21 months after operation and the other 13 cases have been living without tumor. Conclusion PRCC is an uncommon subtype of RCC. Definite diagnosis depends on pathological examination. The surgical therapy is main process of treatment and prognosis is better.

关 键 词：肾肿瘤 癌 乳头状 诊断 治疗 

分 类 号：R737.11[医药卫生—肿瘤]