囊性肾癌31例临床分析

目的 探讨囊性肾癌的诊疗方法,提高本病诊治水平.方法 回顾性分析31例囊性肾癌患者的临床资料,其中男性20例,女性11例,发病年龄29～76岁,中位年龄57.5岁,并对诊疗问题进行讨论.结果 31例患者中26例行肾癌根治术,5例行肾部分切除术.经病理确诊肾癌囊性变24例,多房囊性肾癌6例,单纯性囊肿癌变1例;透明细胞癌28例,嫌色细胞癌3例.术后随访5～104个月,平均28个月,25例无瘤存活.结论 囊性肾癌是肾癌的一种特殊类型,采用B超、CT等影像学检查,可以提高囊性肾癌的术前诊断率,手术治疗效果满意,预后佳.Abstract：Objective To improve the diagnosis and treatment of cystic renal cell carcinoma (CRCC). Methods The data of thirty - one cases of CRCC were analyzed retrospectively, and the problems related to the diagnosis and treatment were discussed. There were 20 male and 11 female patients with an age range from 29 to 76 (median: 57.5) include in our study. Results In the 31 cases of CRCC, 26 cases were received radical nephrectomy and 5 cases were received partial nephrectomy. Histopathologic examination demonstrated 24 cases of renal cell carcinoma cystic degeneration,6 multilicular cystic renal cell carcinoma and 1 preexisting simple cyst cancerization ;28 cases were clear cell carcinoma and 3 cases were chromophobe carcinoma. The patients were followed -up for 5 - 104 months (mean 28 months) and 25 patients survived with no evidence of cancer recurren. Conclusions CRCC reprecents a distinct subtype of renal cell carcinoma. With the help of CT and B ultrasound, CRCC can be diagnosised timely and accurately. Our results indicate that CRCC can be cured by surgery and the prognosis is favorable.

Clinical analysis of 31 cases of cystic renal cell carcinoma

Cystic renal cell carcinoma Diagnosis Treatment