肾错构瘤的诊断与治疗(附42例报告)

目的:提高肾错构瘤(AML)诊断与治疗水平。方法:回顾分析42例AML患者的诊断与治疗经验,根据肿瘤直径大小:分为小(<4cm)、中(4cm~8cm)、大(>8cm)3类,同时根据症状分别采取观察、肿瘤切除、肾部分切除及肾切除等措施。结果:对病变小、无症状者(7/42)采用定期观察,中等大小者(30/42)采用肿瘤切除(17/42)、肾部分切除(11/42)和肾切除(2/42),病变大者(5/42)采用肾切除。42例患者均获随访。结论:结合B超、CT、MRI和细针穿刺细胞学检查明确诊断,根据病变大小和症状,分别选择观察、肿瘤切除、肾部分切除及肾切除,治疗肾错构瘤效果良好。

The Diagnosis and Treatment of Renalleiomyolipoma (Report of 42 cases)

Objective:To study the diagnosis and treatment of renal angiomyolipoma.Methods:A retrospective analyisis of 42 cases with renal angiomyolipoma was performed.Their lesions were classified as small(<4cm),medium(4cm～8cm)or large(>8cm)based on the size of the lesion in each kidney.Such measures as observation,enucleation and partial or total nephrectomy were taken.based on the symptoms or the size of the lesion.Results: Small asymptomatic lesions(7/42 pationts) tend to remain stable but should be periodically evaluated.Medium(30/42 patients) and large sized lesions(5/42 patients) required intervention,including enucleation(17/42patients) and partial(11/42 patients) or total nephrectomy(7/42 patient).Conclusions: The diagnosis was established by ultrasound,CT scan,MRI and fine needle aspiration cytology.Current management options include observation,embolization,enucleation and partial or total nephrectomy.Recommendations for treatment are usually based on the patient symptoms or the size of the lesion.