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目的 :探讨肾盂鳞状细胞癌的临床特点、诊断及治疗方法。方法 :回顾性分析 6例肾盂鳞状细胞癌的临床资料 ,其中 1例行根治性切除 ,5例行肾脏切除。随访 6个月～ 2年。结果 :5例合并鹿角形结石 ,术前均未能正确诊断 ;2例无瘤存活 6个月和 2年 ,4例 2年内死于复发和转移。结论 :肾盂鹿角形结石伴腰痛、脓尿、消瘦等应怀疑肾盂鳞癌的可能 ,早期诊断和治疗是改善预后的关键。
Objective: To investigate the clinical features, diagnosis and treatment of renal pelvic squamous cell carcinoma. Methods: The clinical data of 6 cases of squamous cell carcinoma of renal pelvis were retrospectively analyzed. Among them, 1 case had radical resection and 5 cases had kidney resection. Followed up for 6 months to 2 years. Results: All the 5 cases were diagnosed with antalectomy. None of them were correctly diagnosed before surgery. Two of them survived for 6 months and 2 years without tumor, and 4 patients died of recurrence and metastasis within 2 years. Conclusions: The renal pelvis antler calculus with lumbago, pyuria, weight loss should be suspected of squamous cell carcinoma of the kidney. Early diagnosis and treatment are the keys to improve prognosis.