小肾癌诊断与治疗(附12例报告)  

Diagnosis of renal cell carcinoma:a report of 12 cases

作　　者：张继伟[1] 白焱[1] 王海涛[1] 刘润生[1] 

机构地区：[1]铁道部北京铁路总医院泌尿外科,北京100038

出　　处：《中国肿瘤临床与康复》2002年第2期43-44,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的　提高对小肾癌的诊断和治疗水平 ,探讨不同手术方法的优缺点。方法　通过对 1992年 2月～ 2 0 0 1年 2月收治的 12例小肾癌的临床表现、诊断、治疗及预后进行分析并结合有关文献进行讨论。结果　 12例中全部手术治疗 ,9例行根治性肾切除术 ,3例行保留肾单位肾肿瘤切除术 ,术后均经病理证实。 10例获得随访 ,8例无癌存活 ,最长已超过 7年。结论　小肾癌多为B超偶然发现 ,术前B超、CT肾动脉造影综合分析明确诊断 ;手术方式依据具体情况采取根治性切除术或保留肾单位手术 ;预后主要取决于肿瘤的分期和分级。Objective To improve the standard with diagnosis and treatment of the small renal cell carcinoma,and to evaluate the advantage of different operation approaches.Methods The clinical characteristics,diagnostic methods,treatment and prognosis of 12 cases of small renal cell carcinoma from Feb:1992～2001 were analyzed and discussed with literature.Results All patients undergoing surgery were pathologically proved to be positive after operation.Of them 9 patients underwent radical nephrectomy and 3 underwent nephronsparing surgery.Of the 10 patients followed up,8 patients were cancerfree survival,and 1 of them surviv over 7 years.Conclusion Small renal cell carcinoma are often discovered occasionally by ultrasound.The accurate diagnosis can be improved by the combined use of ultrasound,CT scanning,renal arteriography.Radical nephrectomy or nephron sparing surgery should be taken according to different situations. The prognosis of small renal carcinoma mainly relies on the grade and the stage.

关 键 词：小肾癌 诊断 治疗 

分 类 号：R737.11[医药卫生—肿瘤]