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作者对12例肾透明细胞肉瘤病人的临床资料、手术记录及病理所见做了回顾性研究。病人包括1～6岁的男孩5例、女孩7例,首发症状为腹部触及包块,其中8例为查体时偶然发现,其他临床表现有血尿(n=2),腹围增加(n=1),嗜睡和体重减轻(n=1)。未见骨转移。8例肿瘤在右肾,4例在左肾,肿块直径8.5～16.0cm。10例局限于肾脏,1例累及腹膜及周围淋巴结,1例侵入肝脏,但均未侵及下腔静脉;所有肿瘤均为肉样组织,内有坏死区;7例可见肿瘤内囊肿形成,直径由数毫米至5 cm。病理及手术报告囊肿内含粘度不
The authors retrospectively reviewed the clinical data, surgical records and pathology of 12 cases of renal clear cell sarcoma. The patients included 5 boys in 1 to 6 years and 7 girls. The first symptom was abdominal palpable mass. Of the 8 cases, 8 cases were found by accident and the other clinical manifestations were hematuria (n = 2) and abdominal circumference (n = 1), lethargy and weight loss (n = 1). No bone metastases. 8 cases of tumors in the right kidney, 4 cases in the left kidney, tumor diameter 8.5 ~ 16.0cm. 10 cases were confined to the kidney, 1 case involved the peritoneum and peripheral lymph nodes, 1 case invaded the liver, but did not invade the inferior vena cava; all tumors were meat-like tissue, with necrosis; 7 cases of visible tumor cysts, diameter From a few millimeters to 5 cm. Pathology and Surgical Report The cyst contains no viscosity