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目的分析囊性肾细胞癌(囊性肾癌)的临床特征,提高对囊性肾癌的诊疗水平。方法回顾性分析16例囊性肾癌患者的临床资料,并复习文献,探讨本病的特征、诊断及治疗。结果16例患者均行CT检查,1例CT表现符合Bosniak分型中的Ⅱ型,3例符合Ⅲ型,12例符合Ⅳ型。13例行肾癌根治性切除术,3例行肾部分切除术。中位随访时间39.2个月,无复发和转移。结论CT表现符合Bosniak分型中的Ⅳ型是囊性肾癌诊断的依据,术中对囊壁不规则部位作快速病理是确诊的重要手段,治疗以肾癌根治性切除术和肾部分切除术为主。
Objective To analyze the clinical features of cystic renal cell carcinoma (cystic renal cell carcinoma) and to improve the diagnosis and treatment of cystic renal cell carcinoma. Methods The clinical data of 16 patients with cystic renal cell carcinoma were retrospectively analyzed. The literature was reviewed to discuss the characteristics, diagnosis and treatment of this disease. Results All the 16 patients underwent CT examination. One of the CT findings was consistent with type Ⅱ in the Bosniak classification, three with type Ⅲ and 12 with type Ⅳ. 13 cases of radical resection of renal cell carcinoma, 3 cases of partial nephrectomy. The median follow-up time was 39.2 months without recurrence and metastasis. Conclusions The CT findings are consistent with the type Ⅳ in Bosniak classification is the basis of diagnosis of cystic renal cell carcinoma, intraoperative rapid pathological diagnosis of irregular parts of the wall is an important means of diagnosis and treatment of radical nephrectomy and partial nephrectomy Mainly.