罕见的肾管状囊性癌一例临床分析  

Clinical Analysis of a Rare Case of Renal Tubiform Cystocarcinoma

作　　者：魏磊[1] 薛松[2] 周水根[2] 葛京平[2] 

机构地区：[1]南京军区南京总医院训练中心,南京210002 [2]南京军区南京总医院泌尿外科,南京210002

出　　处：《临床误诊误治》2012年第5期57-58,共2页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨肾管状囊性癌的临床及病理特征。方法对1例肾管状囊性癌的诊治过程进行回顾性分析,并复习相关文献。结果患者因体检发现右肾占位3周入院。以"右肾占位性质待查"收住泌尿外科,行右肾肿瘤剜除术,完整切除肿瘤,术后病理检查确诊为肾管状囊性癌;免疫组织化学染色:CK7(+++),Ckpan(+++),P504S(+++),Vim(+++),Ki-67 5%(+)。术后予干扰素及白细胞介素治疗,随访10个月无复发及转移。结论肾管状囊性癌是一种罕见的肾脏肿瘤,无特异性临床表现,主要依靠病理学及免疫组织化学检查确诊。手术切除为其主要治疗方法。Objective To discuss the clinical and pathology features of renal tubiform cystocarcinoma （TCC）. Meth- ods Clinical data of a case of TCC was retrospectively analyzed and pertinent literatures were reviewed. Results The patient was admitted into urinary department for occupying lesion in the right kidney. The enucleating of right kidney neoplasms was completed. TCC was diagnosed by the post-operative histopathologic examination. Immunohistostaining： CK7 （＋ ＋ ＋）, Ckpan （＋ ＋ ＋）,P504S（＋ ＋ ＋）,Vim（＋ ＋ ＋）,Ki-67 5% （ ＋ ）. The patient received Interferon and Interleukin treatment. A follow-up of 10 months showed no recurrence and metastasis. Conclusion TCC is a rare kidney neoplasm with no special clinical manifesta- tion. Confirmed diagnosis depends on the examination of pathology and immunohistochemistry. Surgical ablation is the preferred therapeutic method of TCC.

关 键 词：肾肿瘤 病理学 临床 诊断 

分 类 号：R737.11[医药卫生—肿瘤]