中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2012年
7期
642-645
,共4页
刘佳%林建%韩文科%金杰%何群%宋刚%谌诚
劉佳%林建%韓文科%金傑%何群%宋剛%諶誠
류가%림건%한문과%금걸%하군%송강%심성
腺瘤,嗜酸粒细胞%肾肿瘤%活组织检查,针吸%肾切除术%导管消融术
腺瘤,嗜痠粒細胞%腎腫瘤%活組織檢查,針吸%腎切除術%導管消融術
선류,기산립세포%신종류%활조직검사,침흡%신절제술%도관소융술
Adenoma,oxyphilic%Kidney neoplasms%Biopsy,needle%Nephrectomy%Catheter ablation
目的 探讨肾嗜酸细胞瘤的诊断、治疗和预后.方法 回顾性分析1999-2010年北京大学第一医院泌尿外科收治的26例肾嗜酸细胞瘤患者的临床特点、治疗方法、病理特征以及长期随访结果和预后.结果 患者平均年龄(55±14)岁,肿瘤平均最大径(4.1±1.3)cm,肿瘤平均体积(24±21)cm3.所有病例都接受外科手术治疗,其中5例行肾部分切除术,21例行肾根治性切除术.平均随访(47±34)个月(4~144个月),无复发、进展或死亡病例.结论 肾嗜酸细胞瘤是一种少见的肾脏良性肿瘤,临床表现及影像学检查均缺乏特异性.肾脏肿物穿刺活检是术前获得肾嗜酸细胞瘤病理诊断的惟一方法.肾嗜酸细胞瘤的预后良好,保留肾单位的手术或者射频消融、冷冻消融等微创治疗也许能取得满意效果.
目的 探討腎嗜痠細胞瘤的診斷、治療和預後.方法 迴顧性分析1999-2010年北京大學第一醫院泌尿外科收治的26例腎嗜痠細胞瘤患者的臨床特點、治療方法、病理特徵以及長期隨訪結果和預後.結果 患者平均年齡(55±14)歲,腫瘤平均最大徑(4.1±1.3)cm,腫瘤平均體積(24±21)cm3.所有病例都接受外科手術治療,其中5例行腎部分切除術,21例行腎根治性切除術.平均隨訪(47±34)箇月(4~144箇月),無複髮、進展或死亡病例.結論 腎嗜痠細胞瘤是一種少見的腎髒良性腫瘤,臨床錶現及影像學檢查均缺乏特異性.腎髒腫物穿刺活檢是術前穫得腎嗜痠細胞瘤病理診斷的惟一方法.腎嗜痠細胞瘤的預後良好,保留腎單位的手術或者射頻消融、冷凍消融等微創治療也許能取得滿意效果.
목적 탐토신기산세포류적진단、치료화예후.방법 회고성분석1999-2010년북경대학제일의원비뇨외과수치적26례신기산세포류환자적림상특점、치료방법、병리특정이급장기수방결과화예후.결과 환자평균년령(55±14)세,종류평균최대경(4.1±1.3)cm,종류평균체적(24±21)cm3.소유병례도접수외과수술치료,기중5례행신부분절제술,21례행신근치성절제술.평균수방(47±34)개월(4~144개월),무복발、진전혹사망병례.결론 신기산세포류시일충소견적신장량성종류,림상표현급영상학검사균결핍특이성.신장종물천자활검시술전획득신기산세포류병리진단적유일방법.신기산세포류적예후량호,보류신단위적수술혹자사빈소융、냉동소융등미창치료야허능취득만의효과.
Objectives To investigate the diagnosis,therapy and prognosis of renal oncocytoma.Methods The data of 26 patients of renal oncocytoma in the department of urology of the Peking University First Hospital from 1999 to 2010 were collected.Retrospective analysis of renal oncocytoma clinical characteristics of patients including pathological characteristics and long term follow-up,treatment methods,and prognosis was undergone.Results The mean age of these patients was (55 ± 14) years,mean tumor size was (4.1 ± 1.3 ) cm,corresponding to a mean tumor volume of ( 24.0 ± 21.1 ) cm3.All of these cases were unilocular unilateral.All of these 26 patients received surgical treatment,5 cases accepted partial nephrectomy while the other cases accepted radical nephrectomy.After a median follow-up time was (47 ±34) months (range 4-144 months) for 25 patients who had been followed up,there was no disease recurrence,progression or death attributed to oncocytoma.Conclusions Renal oncocytoma is an uncommon tumor.It exhibits numerous features which are characteristic but not necessarily unique.Preoperative renal mass biopsy is the only way for prenephrectomy histologic diagnosis of oncocytoma.