6例囊性肾癌误诊为肾囊肿临床分析

冯超杰;何朝宏;任君凯;马静

【期刊名称】《中外健康文摘》

【年(卷),期】2012(000)041

【摘要】Objective: To improve the knowledge and clinical diagnosis and treatment of cystic renal cell carcinoma. Methods: analysis the clinical, ultrasound and CT features and pathological features, surgical approach of six cases of cystic renal cell carcinoma which misdiagnosed as renal cysts. Results: six patients underwent preoperative ultrasonography and CT scan misdiagnosed four cases of renal cysts, two cases can not confirm the diagnosis, as suspected renal cysts; intraoperative frozen results were five cases of cystic renal cell carcinoma, one renal cysts; 4 cases retroperitoneal laparoscopic radical nephrectomy surgery, one case laparoscopic renal after partial nephrectomy, one case after first laparoscopic renal cyst to top the reduced pressure,and then underwent radical nephrectomy. Conclusion: The familiar grasp the imaging features and clinical features of cystic renal cell carcinoma is the key to improve the diagnosis rate of cystic renal cell carcinoma, reduce misdiagnosis.%目的提高对囊性肾癌的认识和临床诊治水平。方法对我院6例误诊为肾囊肿的囊性肾癌患者的临床表现、彩超及CT特点以及病理学特征、手术方式进行分析。结果6例患者术前均行彩超及CT检查,误诊为肾囊肿4例,2例不能明确诊断,可疑肾囊肿；术中冰冻为囊性肾癌5例,肾囊肿1例；4例