巨大成人型肾母细胞瘤3例报告并文献复习  

Diagnosis and treatment of adult Wilms tumor:a report of 3 cases with literature review

作　　者：冯宁翰[1] 王增军[1] 王小宁[2] 王聪[3] 许斌[1] 王巍[1] 顾民[1] 张炜[1] 华立新[1] 眭元庚[1] 吴宏飞[1] 

机构地区：[1]南京医科大学第一附属医院泌尿外科,江苏南京210029 [2]南京医科大学第一附属医院放射科,江苏南京210029 [3]南京医科大学第一附属医院病理科,江苏南京210029

出　　处：《现代泌尿外科杂志》2011年第2期106-107,122,共3页Journal of Modern Urology

基　　金：江苏省自然基金(No.BK2010577);江苏省重点学科外科学资助

摘　　要：目的探讨巨大型成人肾母细胞瘤的诊断和治疗方法,提高该病的诊断率与治愈率。方法回顾性分析南京医科大学第一附属医院2007至2008年间收治的3例巨大成人肾母细胞瘤的临床表现、分期、治疗及预后。结果 3例患者按照美国国家肾母细胞瘤研究组分期:Ⅱ期2例,Ⅲ期1例。3例均行根治性肾切除术,术后辅以放疗和化疗。所有病例均获得随访,随访2～3年,3例均生存。结论成人肾母细胞瘤是一种比较少见的恶性肿瘤,早期诊断、手术治疗、辅以放疗和化疗等可明显提高治愈率并改善其预后。Objective To explore the diagnosis and treatment of adult Wilms tumor.Methods Data of 3 cases of adult Wilms tumor was analyzed retrospectively and literature was reviewed.Results All patients received radical nephrectomy,adjuvant radiotherapy and chemotherapy postoperatively,and were followed up for 2 to 3 years.The results were satisfactory.Conclusions Adult Wilms tumor is a rare malignant tumor,early and exact diagnosis for which largely depends on radiological and pathological examinations.Combined therapy including radical nephrectomy,chemotheraphy and radiotheraphy can improve the curative rate significantly.

关 键 词：肾母细胞瘤 成人 诊断 治疗 

分 类 号：R737.1[医药卫生—肿瘤]