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目的分析肾结石并发肾盂鳞状细胞癌的诊断及治疗。方法分析4例肾结石合并肾盂鳞状细胞癌的临床诊治资料。结果 4例患者中,1例超声CT、IVU术前提示肾盂肿瘤,1例行PCNL术中发现肾盂肿物,活检示肾盂鳞癌,2例术后病理证实鳞癌。术后3例获得随访,1例6个月后死亡,2例存活2~5 a。结论本病临床缺乏特异性,漏诊率高,诊断较困难。
Objective To analyze the diagnosis and treatment of renal calculi with renal pelvic squamous cell carcinoma. Methods The clinical data of 4 cases with nephrolithiasis and renal squamous cell carcinoma were analyzed. Results Among the 4 patients, one was diagnosed with renal pelvis tumor by ultrasound CT or IVU before surgery, one was found by PCNL, and renal squamous cell carcinoma was detected by biopsy. Two cases were diagnosed squamous cell carcinoma by pathology. Three patients were followed up, one died after 6 months and two survived 2 ~ 5 days. Conclusion The clinical lack of specificity of the disease, misdiagnosis rate, diagnosis is more difficult.