多房囊性肾细胞癌影像学特征与病理学关系的研究  

Multilocular cystic renal cell carcinoma:imaging and pathology correlation

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作  者:刘静[1] 李玲[1] 李莹莹[1] 张婷婷[1] 刘鹏[1] Liu Jing Li Ling Li Yingying et al(Dpartment of Urology, Shouguang Hospital Affiliated to Weifang Medical University, Weifang 262700, Chin)

机构地区:[1]潍坊医学院附属寿光人民医院泌尿外科,山东潍坊262700

出  处:《国际泌尿系统杂志》2017年第4期489-491,共3页International Journal of Urology and Nephrology

基  金:山东省卫生厅科研项目(2011HW076)

摘  要:目的 探讨多房囊性肾细胞癌(Multilocular Cystic Renal Cell Carcinoma, MCRCC)的影像学特征与病理学特点的关系,提高诊断水平.方法 回顾性分析24例MCRCC患者的临床资料,分析影像学及病理学的特点,探讨两者之间存在的关系.结果 所有患者术前诊断肾癌18例,肾癌坏死3例,肾复杂囊肿3例;行肾部分切除术18例,肾根治性切除术6例,术后病理20例提示MCRCC,4例提示肾透明细胞癌合并MCRCC,术后随访14-120个月,平均36个月,均未见明确的肿瘤复发和转移.结论 MCRCC是一种病因不明、恶性程度低、预后良好的疾患,提高影像学检查技术并结合病理学特点,能有效提高术前确诊率.Objectives To investigate the imaging diagnosis and pathological features of multilocular cystic renal cell carcinoma (MCRCC), and to improve the preoperative imaging diagnosis.Methods The clinical data of 24 cases of MCRCC were analyzed retrospectively.The imaging features and pathological features of the MCRCC were studied.Results In all 24 cases,18 cases of renal cell carcinoma of the preoperative diagnosis,3 cases of renal cell carcinoma necrosis and 3 cases of complex renal cyst were found.Six patients underwent radical nephrectomy while the other 18 patients underwent partial nephrectomy.Histological examination showed that 20 cases were MCRCC and 4 cases were MCRCC with clear cell carcinoma.All patients were followed up for 14-120 months (mean 36 months) and all survived with no evidence of cancer.Conclusions MCRCC is characteristic by unknown etiology,lower pathologic grade and has a favourable prognosis.The preoperative imaging diagnosis should imminently be improved,if the imaging features,pathological features of the MCRCC were studied well.

关 键 词: 肾细胞 肾肿瘤 

分 类 号:R737.11[医药卫生—肿瘤]

 

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