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偶发性小肾癌的诊治体会(附31例报告)
引用本文:庄乾元,周四维,郭小林,杜光辉,管维.偶发性小肾癌的诊治体会(附31例报告)[J].华中科技大学学报(医学版),2001,30(6):613-614.
作者姓名:庄乾元  周四维  郭小林  杜光辉  管维
作者单位:华中科技大学同济医学院附属同济医院泌尿外科,武汉,430030
摘    要:为提高偶发性小肾癌的诊治水平,对31例偶发性小肾癌的诊治进行回顾性分析.结果体检中B超发现20例,因其他疾病行B超或CT检查发现11例.术前诊断明确,术后病理证实27例;术中快速切片证实4例.29例行肾癌根治术,1例孤独肾、1例总肾功能不正常者行肿瘤剜除术.提示偶发性小肾癌虽多属早期癌,但也有多中心性发生及转移可能,需多种影像学检查综合分析作出诊断,治疗上应采用肾癌根治术.

关 键 词:小肾癌  偶发
修稿时间:2001年2月4日

Incidental Renal Cell Carcinoma-A Report of 31 Cases
Zhuang Qianyuan,Zhou Siwei,Guo Xiaolin et al.Incidental Renal Cell Carcinoma-A Report of 31 Cases[J].Journal of Huazhong University of Science and Technology(Health Sciences),2001,30(6):613-614.
Authors:Zhuang Qianyuan  Zhou Siwei  Guo Xiaolin
Institution:Zhuang Qianyuan,Zhou Siwei,Guo Xiaolin et al Department of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030
Abstract:To improve the levels of diagnosis and treatment of incidental small renal carcinoma, the diagnosis and treatment of 31 patients with incidental small renal carcinoma were reviewed. Twenty cases were detected by routine ultrasonography. Eleven cases were found by ultrasonography and CT scan for other diseases. The diagnosises were confirmed by intraoperative pathology (4 cases) and postoperative pathology (27 cases). Radical nephrectomy was performed on 29 cases. One patient with solitary kidney and another with renal dysfunction received tumor enucleation. It was suggested that incidental small renal carcinoma usually being in early stage might present metastasis and multicentric leasion sometimes. The diagnosis depended on synthesizing the results of various radiographic examinations. Radical nephrectomy was the method for its treatment.
Keywords:small renal carcinoma  incidental
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