双侧散发性肾癌的手术治疗与预后特点分析  

To investigate the characteristics of bilateral sporadic renal cell carcinoma

作　　者：李航[1] 赵耀瑞[2] 杨宪法[3] 孙光[3] 徐勇[3] 牛远杰[3] 

机构地区：[1]天津医科大学,300000 [2]中国人民武装警察部队后勤学院附属医院 [3]天津医科大学第二医院泌尿外科

出　　处：《现代泌尿生殖肿瘤杂志》2015年第6期324-326,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨双侧散发性肾癌（bilateral sporadic renal cell carcinoma,BSRCC）的手术治疗与预后特点。方法回顾性分析2006~2013年诊治的9例双侧肾癌患者的临床特点。结果 9例患者术后均未出现并发症。7例为双侧透明细胞癌,2例为一侧透明细胞癌,对侧混合细胞型肿瘤。在随访的8~98个月中（中位随访时间68个月）,7例无瘤生存,1例术后出现肾癌肺部转移并死亡,1例因术前喉癌的复发死亡。结论双侧肾癌主要病理类型为透明细胞癌,手术切除肿瘤是治疗的最确切手段,但同时应注意患者肾功能的保护。Objective To investigate the diagnosis,treatment and prognosis of bilateral multifocal renal cell carcinoma. Methods Retrospectively analyzed the clinical characteristics of the 9 cases with bilateral renal carcinoma,which was diagnosed and treated from 2006 to 2013.All cases had been treated with nephron sparing surgery（NSS）and radical nephrectomy. Results There were no postoperative surgical complications in these 9 patients.7 patients were bilateral clear cell carcinoma,2 patient were unilateral clear cell carcinoma with varied histologic origin in opposite kidneys.During the follow-up of 8 to 98 months（average of 68 months）,7 patients were disease-free survival,1 patient occurred pulmonary metastasis and died,1 patient died in laryngeal metastasis.Conclusions The most common histologic subtype of BSRCC was the conventional clear cell histology.Surgical removal of the tumor is the most accurate method of treatment.Additionally,we should pay attention to the protection of renal function.

关 键 词：双侧肾癌 保留肾单位手术 透明细胞癌 

分 类 号：R737.11[医药卫生—肿瘤]