肾肿瘤诊断一般并不困难,但在有合并症或临床表现不典型的情况下,也容易发生漏诊或误诊。我科自1969年12月以来,共收治肾肿瘤28例,其中因伴有结石而被漏诊者3例,被误诊为肾结核者2例,共5例。现将误诊原因分析如下。 1.肾肿瘤合并肾结石容易漏诊,因肾结石合并肾肿瘤者发病率极低,我院同期收治肾结石516例,其中发现合并肾肿瘤者仅3例。加上临床上又缺乏特异性表现,因此,每当肾结石确诊以后,往往不去进一步考虑是否合并肾肿瘤的问题,以致造成漏诊。大凡是肾结石(尤其是鹿角状结石)病史长者,或可疑有肿瘤并 Kidney tumor diagnosis is generally not difficult, but in cases of comorbidity or atypical clinical manifestations, but also prone to misdiagnosis or misdiagnosis. My department since December 1969, a total of 28 cases of renal tumors were treated, of which due to stones were missed in 3 cases were misdiagnosed as renal tuberculosis in 2 cases, a total of 5 cases. Misdiagnosis is now analyzed as follows. 1. Renal nephrolithiasis easily misdiagnosed kidney stones, nephrolithiasis due to the low incidence of kidney neoplasms, our hospital admitted 516 cases of kidney stones over the same period, of which found only 3 cases of renal tumors. Coupled with the lack of specific clinical manifestations, therefore, whenever the diagnosis of kidney stones, often do not go further to consider whether the merger of renal tumors, resulting in missed diagnosis. Often there is a history of kidney stones (especially staghorn stones), or suspicious tumors