泌尿生殖系罕见癌肉瘤4例报告  

The rare carcinosarcoma in urogenital system (Report of 4 cases)

作　　者：谷江[1] 李登宝[1] 游万祥[1] 

机构地区：[1]贵阳医学院附属医院泌尿外科,贵阳550004

出　　处：《临床泌尿外科杂志》2003年第7期396-398,共3页Journal of Clinical Urology

摘　　要：目的 :探讨泌尿生殖系癌肉瘤的诊断和治疗。方法 :总结 2例阴茎癌肉瘤、1例肾脏癌肉瘤、1例膀胱癌肉瘤患者的临床资料。 4例均行手术切除。结果 :术后病理和免疫组化证实为癌肉瘤 ,1例于术后 2个月死于呼吸衰竭、1例失访、另 2例现已分别生存 6个月和 10个月。结论 :泌尿生殖系癌肉瘤临床罕见 ,术前诊断困难 ,免疫组化有助于诊断。恶性程度高 ,预后差 。Purpose:To evaluate the diagnosis and treatmeat of the carcinosarcoma in urogenital system.Methods:The clinical data of 2 cases of penile carcinosarcoma, 1 case of renal carcinosarcoma and 1 case of bladder carcinosarcoma were respectively reviewed.Results:Four cases underwent surgical resection. Carcinosarcoma were proved postoperatively in 4 cases by pathology and immunohistochemistry. One died of respiration failure after operation, and one was without follow up. The other 2 cases has been alive 6 months and 10 months respectively by now.Conclusions:The carcinosarcoma was rare in urogenital system and was difficult to be diagnosed preoperatively and immunohistochemistry was helpful for its diagnosis. Because of its high malignancy and bad prognisis the radical resection should be performed as soon as early.

关 键 词：泌尿生殖系罕见癌肉瘤 诊断 治疗 免疫组化 

分 类 号：R737[医药卫生—肿瘤]