肾脏嗜酸细胞瘤35例诊治报告  

Experience of diagnosis and treatment of renal oncocytoma(Report of 35 cases)

作　　者：唐朝朋[1] 易晓明[1] 魏武[1] 徐振宇[1] 张征宇[1] 周文泉[1] 

机构地区：[1]南京军区南京总医院泌尿外科,南京210002

出　　处：《临床泌尿外科杂志》2016年第1期62-64,共3页Journal of Clinical Urology

基　　金：国家自然科学基金面上项目(编号81372742)

摘　　要：目的：探讨肾脏嗜酸细胞瘤的诊断及治疗情况。方法：回顾性分析2004年10月-2014年9月我院收治的35例肾嗜酸细胞瘤患者的临床资料：男19例,女16例;年龄23-80岁,平均52.1岁。肿瘤位于左侧19例,右侧16例;肿瘤直径2-12cm,平均5.3cm。所有患者术前均行CT检查,其中术前CT诊断为嗜酸细胞瘤3例,肾癌32例。3例行后腹腔镜肾肿瘤剜除术,1例行开放性经腹肾肿瘤剜除术,20例行后腹腔镜肾切除术,另11例行开放性肾切除术。结果：35例患者手术顺利,术后恢复尚可。随访3个月-10年,未见复发及转移,其中1例术后4年出现肾功能下降,余患者肾功能均恢复正常。结论：肾嗜酸细胞瘤是少见的良性肿瘤,术前影像学检查确诊较难;保留肾单位手术是目前最适合的治疗手段,术后应密切随访。Objective：To investigate the diagnostic and therapeutic features of renal oncocytoma（RO）.Method：The clinical data of 35cases（19males and 16females）with RO from October 2004 to September 2014 were analyzed retrospectively.Their average age was 52.1（range,23-80）years old.Nineteen tumors were located in the left kidney and 16 were in the right kidney.The tumors averaged 5.3cm in diameter（range,2-12）cm.Three cases of RO and 32 cases of renal cancer were diagnosed preoperatively by CT.Three cases underwent retroperitoneal laparoscopic nephron sparing surgery,and one case underwent open transabdominal nephron sparing surgery.Retroperitoneal laparoscopic nephrectomy was taken for 20 cases,and the other 11 cases received open nephrectomy.Result：All operations were successful,and all patients recovered well.No relapse or metastasis was found during the follow-up period of three months to ten years.However,only one patient was found renal insufficiency four years after surgery.Conclusion：RO is a rare benign tumor.It is difficult to diagnose by radiological imaging techniques preoperatively.Nephron sparing surgery is the best choice,and a close follow-up plan is needed.

关 键 词：肾嗜酸细胞瘤 诊断 治疗 

分 类 号：R737.11[医药卫生—肿瘤]