肾透明细胞癌胰腺转移瘤3例临床分析

目的 探讨肾透明细胞癌胰腺转移瘤的临床特点。方法 分析复旦大学附属中山医院自2003?01?01至2009?05?31病理确诊肾透明细胞癌胰腺转移3例病人的临床资料。结果 （1）肾透明细胞癌胰腺转移瘤的B超表现为低回声团块，难以与胰腺癌鉴别；而在CT动脉期可表现为增强病灶，又难以与神经内分泌肿瘤鉴别。（2）术后病理大体标本表现为边界清晰，切面灰黄，伴有灰红色坏死区域肿块。镜下为细胞质量多呈透明色的成片状排列。（3）1例病人术后11个月死亡，另2例病人随访至2009年5月，术后生存时间分别为21个月和2个月，现仍在继续随访中。结论 肾透明细胞癌胰腺转移瘤的共同特点为B超表现为低密度团块，CT表现为动脉期明显增强病灶。术前诊断主要依靠既往病史及CT检查。根治性胰腺转移瘤切除术后生存状况仍难确定，通常认为若无复发、转移，则有望获得长期生存。

Research for 3 cases on the clinical characteristics of pancreatic metastasis tumor from renal clear cells

Objective Analyze and research on the clinical feathers of pancreatic metastases of renal clear cell carcinoma.Methods Collect 3 cases which were diagnosed as pancreatic metastases of renal clear cell carcinoma by pathology from January 1st,2003 to May 31st,2009,retrospectively analyze the clinical manifestations,physical signs,B-ultrasound and CT findings,postoperative pathology as well as the survival time after operation of pancreatic metastases of renal clear cell carcinoma.Results(1)B-ultrasound shows ...