后肾腺瘤2例报道并文献复习  

Metanephric Adenoma: Report of 2 Cases and Review of the Literature

作　　者：王道元[1] 刘柯柯[1] 闫书贤[1] 叶永利[1] 杨兴强[1] 陈永红[1] 刘江海[1] 

机构地区：[1]中国人民解放军150中心医院泌尿外科,河南洛阳471031

出　　处：《肿瘤基础与临床》2013年第5期416-417,共2页journal of basic and clinical oncology

摘　　要：目的探讨并评估后肾腺瘤(MA)的临床及病理学特征,提高对其诊断和治疗的认识。方法报道2例MA患者的临床表现、影像学特征、手术方法及病理结果,随访患者并结合相关文献进行讨论。结果2例患者术前诊断均为肾占位,1例行肾切除术,1例行保留肾单位手术(NSS),术后病理均为MA,随访3a均未出现复发及转移。结论 MA是一种罕见的肾脏上皮源性肿瘤,极易误诊为肾癌,病理诊断至关重要,由于本病的良性生物学行为,NSS为其首选,术后需要密切随访。Objective To investigate the clinical and pathological features of the Metanephric Adenoma （ MA）, and to improve the recognition of its diagnosis and treatment. Methods The clinical feature, radiological character- istics, surgical procedure and pathological features of two cases of MA were analyzed and followed-up, and the rela- tive literatures were reviewed. Results The preoperative diagnosis of all the patients were renal tumor, for the treat- ment,nephrectomy was used in one patient and nephron-sparing surgery （NSS） was used in another patient, the postoperative pathology report of the two patients were MA ,postoperative follow-up was three years with no tumor re- currence and distant metastasis. Conclusion MA is a rare original tumor on the kidney, it is easy to misdiagnosed as renal cancer, the pathological diagnosis is very crucial, as the benign clinical course of these lesions, NSS is the preferred method, a long-term close follow-up is necessary after surgery.

关 键 词：后肾腺瘤 病理 保留肾单位手术 

分 类 号：R737.11[医药卫生—肿瘤]