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目的:探讨肾盂结石合并肾盂鳞状细胞癌的诊断及治疗,降低漏诊率。方法:对一例右肾结石合并肾盂占位患者行右肾切除术术中冰冻切片检查提示鳞状细胞癌。结果:该例患者病理诊断结果为肾盂鳞状细胞癌,2月后死于肿瘤全身转移。结论:较多、较大的肾结石,合并疼痛及脓尿时,应警惕肾盂鳞癌的可能性,及时及正确的处理肾结石是预防肾盂鳞癌的关键,早期诊断、治疗可改善预后。
Objective: To investigate the diagnosis and treatment of renal pelvis and renal pelvic squamous cell carcinoma and to reduce the rate of misdiagnosis. Methods: One case of right renal calculi with pelvis occupying place was examined by frozen section examination of right nephrectomy during squamous cell carcinoma. Results: The pathological diagnosis of this patient was squamous cell carcinoma of the kidney, which died of systemic metastases in 2 months. Conclusions: More and larger nephrolithiasis should be wary of squamous cell carcinoma of the kidney when combined with pain and pyuria. The timely and correct treatment of kidney stones is the key to prevent squamous cell carcinoma of the kidney. Early diagnosis and treatment can improve the prognosis.