嗜酸性乳头状肾细胞癌1例报告并文献复习  

Oncocytic papillary renal cell carcinoma:a case report and literature review

作　　者：粘烨琦[1] 王荫槐[1] 易路[1] 胡善彪[1] 管域[1] 

机构地区：[1]中南大学湘雅二医院泌尿外科,长沙410011

出　　处：《临床泌尿外科杂志》2013年第10期764-765,768,共3页Journal of Clinical Urology

摘　　要：目的:探讨嗜酸性乳头状肾细胞癌(oncocytic papillary renal cell carcinoma,OPRCC)的临床特征。方法:回顾性分析本院收治的1例OPRCC,并结合文献资料分析OPRCC的诊断、治疗及预后。患者因左侧腰痛就诊,CT检查发现左肾占位性病变,考虑肾癌可能性大,予肾部分切除术。结果:术后病检报告为嗜酸性乳头状肾细胞癌,患者术后未接受辅助化疗,随访6个月无肿瘤复发及转移。结论:OPRCC十分罕见,但进展较慢,恶性程度低,早期扩散转移少见,预后较好,其确诊主要依靠病理组织学检查。Objective： To investigate the clinical features of oncocytic papillary renal cell carcinoma. Method： A case of oncocytic papillary renal cell carcinoma was analyzed retrospectively. The diagnosis, treatment and prog- nosis of OPRCC were discussed referred to some literatures. The patient complained of left flank pain. The CT re- vealed that there was a mass on the left kidney which was conisdered as renal cell carcinoma. Partial nephrectomy was performed for the case. Result： The pathologic diagnosis was oncocytic papillary renal cell carcinoma. No ad juvant chemotherapy was accepted. The patient is now under regular follow-up with no complaints and evidence of tumor recurrence six months after surgery. Conclusion： Oncocytic papillary renal cell carcinoma is rare with slow progression and good prognosis. Histopathologic examination is the main method to diagnose oncocytic papillary renal cell carcinoma.

关 键 词：乳头状。肾细胞癌 嗜酸性细胞 

分 类 号：R737.11[医药卫生—肿瘤]