CAJ | 학술논문

目的：总结囊性肾癌的影像学、临床及病理特征，探讨该疾病的诊疗及预后，提高诊疗效果。方法回顾性分析2000年1月至2014年1月23例囊性肾癌患者的临床资料，总结囊性肾癌的影像学、临床及病理特征。结果根据术中所见及病理特点分型：多房囊性肾癌12例、单房囊性肾癌4例、肾癌坏死型5例、囊肿恶变型2例。病理诊断：透明细胞癌19例、嫌色细胞癌3例、透明细胞伴乳头状腺癌1例。TNM分期：T1N0M0：20例、T2N0M0：2例、T3N0M0：1例。20例患者获得随访，平均随访时间43.3个月，3例患者随访期间死亡，其余患者未见肿瘤复发和转移。结论影像学检查为囊性肾癌术前诊断的主要手段，确诊依赖术中及术后病理检查。手术为目前治疗的主要手段。因肿瘤分期较低，整体预后较好。
목적：총결낭성신암적영상학、림상급병리특정，탐토해질병적진료급예후，제고진료효과。방법회고성분석2000년1월지2014년1월23례낭성신암환자적림상자료，총결낭성신암적영상학、림상급병리특정。결과근거술중소견급병리특점분형：다방낭성신암12례、단방낭성신암4례、신암배사형5례、낭종악변형2례。병리진단：투명세포암19례、혐색세포암3례、투명세포반유두상선암1례。TNM분기：T1N0M0：20례、T2N0M0：2례、T3N0M0：1례。20례환자획득수방，평균수방시간43.3개월，3례환자수방기간사망，기여환자미견종류복발화전이。결론영상학검사위낭성신암술전진단적주요수단，학진의뢰술중급술후병리검사。수술위목전치료적주요수단。인종류분기교저，정체예후교호。
Objective To improve the diagnosis and treatment of cystic renal cell carcinoma(CRCC),we investigated and summarized the radiological appearances、clinical and pathological features of CRCC patients in our hospital. Methods We retrospectively analyzed the radiological appearances、clinical and pathological features of 23 CRCC patients admitted during the year 2000 to 2014.The mean age of these patients was 51years-old(ranging from 29~71 years old),including 16 males and 7 females.Interestingly,16 patients found the lesion in a physical examination. Only 4 patients felt uncomfortable in the stomach or the back,2 felt weak and 1 had hematuresis. All of the patients underwent surgery.19 patients underwent radical nephrectomy,4 patients underwent nephron sparing surgery. Results The pathological characteristies: 12 cases were multilocular cystic renal cell carcinoma and 4 were unilocular;5 cases were tumor necrosis of renal cell carcinoma and 2 were carcinoma in renal cyst. The post-operative histological diagnosis:19 cases were clear cell carcinoma,3 were chromophobe cell carcinoma and 1 was papillary adenocarcinoma. Among them,20 patients were at pTlN0M0,2 at pT2N0M0,and 1 at pT3N0M0. 20 patients were followed up with a mean duration of 43.3 months. Conclusion Pre-operative diagnosis of CRCC mainly depends on imaging study and pathologic characteristics help to confirm the diagnosis. Surgery is consent of the treatment. Owing to the low stage,CRCC patients have favorable prognosis.