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目的 提高对囊性肾癌的认识。 方法 总结 12例囊性肾癌患者的诊断、治疗、预后等资料。术前诊断为复杂性囊肿 10例 ,9例术中行病理检查 ,8例报告为恶性。 12例中行根治性肾切除 7例 ,肾切除 3例 ,部分肾切除和囊肿去顶各 1例。 结果 12例术后病理均为囊性肾透明细胞癌 ,平均随访 39.5个月 ,无肿瘤复发和转移。 结论 对可疑囊性肾癌者 ,术中须行病理检查 ;确诊者宜行根治性肾切除或部分肾切除。囊性肾癌预后较好
Objective To raise awareness of cystic renal cell carcinoma. Methods The data of diagnosis, treatment and prognosis of 12 patients with cystic renal cell carcinoma were summarized. Preoperative diagnosis of complex cysts in 10 cases, 9 cases of pathological examination, 8 cases were reported as malignant. There were 7 cases of radical nephrectomy in 12 cases, 3 cases of nephrectomy, and 1 case of partial nephrectomy and cyst declination. Results All the 12 cases were cystic renal clear cell carcinoma with an average follow-up of 39.5 months. There was no tumor recurrence and metastasis. Conclusion Suspected cystic renal cell carcinoma, pathological examination should be performed; diagnosis should be performed radical nephrectomy or partial nephrectomy. Cystic renal cell carcinoma has a good prognosis