结石肾并肾癌的诊断和治疗

目的 探讨结石肾合并肾癌的诊断与治疗策略.方法 回顾分析9例结石肾合并肾癌患者的病例资料及诊治经过.结果 9例患者中2例术前检查已发现结石肾合并肾占位病变行根治性肾切除;另7例中4例因结石手术术中发现可疑病灶行快速冰冻切片病检证实为肾细胞癌而行根治性肾切除,3例因结石肾积水合并感染形成脓肾行患肾切除,术后病理证实为肾癌...

Diagnosis and treatment of renal calculi associated with renal cell carcinoma

Objective To investigate the diagnosis and treatment of renal calculi associated with renal cell carcinoma（RCC）. Methods The clinical data of 9 cases of renal calculi associated with RCC were retrospectively analyzed. Results The diagnosis were confirmed in 2 cases before open surgery. The remaining were diagnosed during or after operation ：4 cases with doubtful focus were confirmed RCC by intra -operative frozen section,3 were confirmed by pathology after nephrectomy. All 7 confirmed cases were performed radical nephrorectomy. All cases underwent follow up：2 cases were dead of metastasis of RCC within 1 year, and no recurrence or metastasis was noted in other 7 cases during follow up. Conclusion The pre - diagnosis of renal calculi associated with RCC is difficult. Patients with renal calculi over 50 years of age or with a long standing history of urolithiasis within the background of an atypical or asymptomatic presentation should be screened for the possibility of an occult renal cancer by using appropriate investigations. Once the diagnosis is confirmed, radical nephrorectomy rather than treatment of renal calculi should be performed as soon as possible.