不易确诊的小肾癌的临床诊断与治疗  

Diagnosis and treatment of small renal cell carcinoma

作　　者：王沈阳[1] 苏顺业[1] 刘鲁东[1] 高远[1] 张明荣[1] 卢洪凯[2] 

机构地区：[1]山东省潍坊市人民医院泌尿外科,潍坊医学院附属潍坊市人民医院,261041 [2]潍坊市中医院泌尿外科

出　　处：《中国临床实用医学》2009年第4期60-61,共2页China Clinical Practical Medicine

摘　　要：目的 探讨小肾癌的诊断与治疗方法。方法回顾性分析12例小肾癌的临床资料及影像学特征，初步诊断与术后病理学检查结果进行对照。结果术前诊断正确率：B超为28．2％、CT为89．6％。8例行肾癌根治术，4例行保留肾单位手术。结论小肾癌临床分期低，预后较好。影像学及病理学检查对于小肾癌的诊断具有重要意义，保留肾单位手术为其治疗的最佳选择。Objective To investigate the clinical diagnosis and treatment of small renal cell carcinoma. Methods The clinical manifestation.the imageology features.diagnosis and treatments of this disease was analyzed and reviewed. Initial diagnosis was compared with pathologic result. Results B-ultrasound and CT that were consistent with diagnosis were 28. 2% and 89. 6%. Renal carcinoma radical correction was used in 8 patients. NSS was used in 4 patients. Conclusion Small renal cell carcinoma has low clinical stages. Therapeutic effect was good. Imageology and pathology were helpful for the early diagnosis of the diseases and operations are optimal and still the main treatments.

关 键 词：肾肿瘤 癌 肾细胞 泌尿外科手术 

分 类 号：R737.11[医药卫生—肿瘤]