CAJ | 학술논문

目的：探讨钙化性肾脏肿物的诊治。方法回顾性分析2014年5月到7月北京协和医院收治的2例钙化性肾脏肿物患者的资料，结合文献就其临床表现、诊断和治疗进行分析、讨论。结果2例患者术前均疑似为肾脏恶性肿瘤。病例1，男性，32岁，行腹腔镜左肾部分切除术，术后病理回报为透明细胞癌（ Fuhrman Ⅰ级）；病例2，男性，18岁，因肿物体积较大行开腹右肾部分切除术，术后病理回报为成人型肾母细胞瘤。结论伴钙化的肾脏肿物临床上较少见，其性质通常依赖于术后病理，手术方式选择上需结合患者年龄、肿瘤大小及肿瘤位置综合考虑，必要时可行术中冰冻。
목적：탐토개화성신장종물적진치。방법회고성분석2014년5월도7월북경협화의원수치적2례개화성신장종물환자적자료，결합문헌취기림상표현、진단화치료진행분석、토론。결과2례환자술전균의사위신장악성종류。병례1，남성，32세，행복강경좌신부분절제술，술후병리회보위투명세포암（ Fuhrman Ⅰ급）；병례2，남성，18세，인종물체적교대행개복우신부분절제술，술후병리회보위성인형신모세포류。결론반개화적신장종물림상상교소견，기성질통상의뢰우술후병리，수술방식선택상수결합환자년령、종류대소급종류위치종합고필，필요시가행술중빙동。
Objective To investigate the diagnosis and treatment of renal neoplasm with calcification .Methods Retrospectively summarized the clinical data of the 2 patients with calcific renal neoplasm admitted in our hospital from the May to July in 2014, then analyzed and discussed the clinical manifestations , diagnosis and treatment com-bined with the literatures .Results The two cases were both suspected of renal malignant tumor preoperatively .The case 1 was a 32-year-old male , laparoscopic partial resection of the left kidney was performed , and the postoperative pathology was clear cell carcinoma (Fuhrman levelⅠ).The case 2 was a 18-year-old male, partial resection of the right kidney was performed because of the tumor size , and the postoperative pathology was adult nephroblastoma . Conclusions The calcific renal neoplasm is a rare disease , the property determination depends on postoperative pa-thology, and as to the choice of surgical method , the patients'age, the tumor size and the tumor location should be taken into consideration , and intraoperative frozen should be performed when necessary .