肾母细胞瘤介入治疗后的病理形态学评价  

Evaluation on the pathological morphology of nephroblastoma after interventional treatment

作　　者：黄穗[1] 秦增辉[1] 严桂娟[1] 刘凤玲[1] 胡向群[1] 鲁建生[2] 

机构地区：[1]武汉市儿童医院放射科,430016 [2]武汉市儿童医院病理科,430016

出　　处：《放射学实践》2000年第6期405-407,共3页Radiologic Practice

摘　　要：目的：报道儿童肾母细胞瘤介入治疗后手术病理观察，评价其治疗效果。方法：对２２例肾母细胞瘤介入治 疗后有关资料进行总结分析，其中男１４例，女８例，年龄８个月～５岁。有１９例患儿接受肾动脉区城性化疗和动脉栓塞介 入治疗后２周内择期施行肿瘤摘除手术。结果：接受介入治疗后本组患儿腹部肿块明显缩小，超声检查平均缩小３９．８％。 肿瘤摘除手术中见肿瘤呈大片缺血性坏死外观，肿瘤标本观察评估肿瘤坏死面积达５１％～９９．４％。结论：应用介入治疗 方法能够迅速大面积杀死肿瘤细胞，瘤体明显缩小，为手术摘除肿瘤创造了有利条件。Objective: To evaluate the pathological morphology of the child's nephroblastoma resected after interventional treat- ment. Methods: 22 cases with nephroblastoma, male 14 and female 8, age from 8 months to 5 years, were performed interventional therapy and analyzed retrospectively. 19 of 22 cases underwent renal arterial chemotherapy and embolization, and then the tumors were removed within 2 weeks. Results: After interventional therapy, the size of tumors markedly decreased in about 39.8% in average on echogram. Sur- gical finding showed large ischemic necrosis of the tumor, and the necrotic areas were up to 51% to 99.4% on the tumor specimens.Con- clusion: Interventional treatment can rapidly and extensively kill tumor cells, markedly decrease the tumor size and provide a good condition for operation.

关 键 词：肾母细胞瘤 介入治疗 病理形态学 

分 类 号：R737.11[医药卫生—肿瘤]