9例多房性囊性肾瘤的诊治分析及文献复习  

Analysis on Diagnosis and Treatment of 9 Cases with Multilocalar cystic nephroma and Literature Review

作　　者：罗津 董金凯[2] 李钢[3] 高江平[4] 谢皓空 

机构地区：[1]湖南省永州市中心医院急诊科,湖南永州425000 [2]北京军事医学科学院附属医院泌尿外科,北京100853 [3]解放军309医院(总参谋部总医院)全军器官移植中心,北京100091 [4]解放军总医院泌尿外科,北京100039

出　　处：《罕少疾病杂志》2014年第4期42-44,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的回顾性分析9例MCN患者的临床资料并结合文献讨论MCN的临床表现、病理学特征、诊断和治疗方法。方法男性5例,年龄12-85岁,平均53.3岁;女性4例,年龄32-71岁,平均56.4岁。临床表现为肉眼血尿1例,腹部包块2例,腹痛2例,无症状体检发现4例。所有肿块均为单发,大小2.5cm×3.0cm-12.0cm×6.5cm。所有病例均行B超、IVU和增强CT检查。结果 B超诊断MCN1例、囊性肾癌3例、肾囊肿5例;CT诊断MCN2例、囊性肾癌4例、未定性3例;IVU均未定性。行肾脏切除术2例,肾肿瘤剜除术5例,肾根治性切除术2例。术后病理诊断均为MCN。随访3-36个月均未见复发且患者患侧未见肾功能障碍。结论影像学检查是MCN的重要检查手段,保留肾单位的肿瘤切除术是本病的首选治疗方法。Objective To retrospectively analyze the clinical data of 9 case with multilocalar cystic nephroma and review related literatures, and to discuss the clinical features, pathological manifestations,diagnosis and treatment methods. Methods The clinical data of 9 cases （5 males, 12 to 85 years old; 4 female, 32 to 71 years old） of MCN were retrospectively analyzed; Among the 9 cases, 1 showed macroscopic hematuria and 2 showed abdominal masses; 2 showed abdominal pain,and other 4 cases showed no symptoms and the tumors were found accidentally during physical examination. The tumors were all solitary and showed 2.5cm×3.0cm to 12.0cm×6.5cm in size. Ultrasound examination, IVU and enhanced CT scanning were performed in all cases.Results On ultrasound examination, 1 case was diagnosed with MCN, 5 cases were diagnosed with renal cyst and 3 with cystic renal carcinoma. On CT, 2 cases were diagnosed with MCN, 4 cases with cystic renal carcinoma and 3 cases with uncertain diagnosis. On IVU, the diagnosis was not established in all cases. 4 cases underwent nephrectomy and 5 cases underwent enucleation of the tumors with nephronsparing surgery. Postoperative pathology showed MCN in all cases. During the follow-up of 3-36 months, the patients were well with no evidence of recurrence and renal dysfunction. Conclusions Imaging examinations are important to the detection of MCN, and nephronsparing resection of tumor is a primary and effective therapeutic method for this disease.

关 键 词：肾肿瘤 多房性囊性肾瘤 

分 类 号：R322.61[医药卫生—人体解剖和组织胚胎学]