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目的:提高肾嫌色细胞癌的诊治水平和对此类型肾癌的认识。方法:结合文献回顾性分析9例肾嫌色细胞癌的临床和病理资料。1996年1月~2006年12月我院共收治124例肾癌,其中肾嫌色细胞癌占9例(7.25%),9例肾嫌色细胞癌均行根治性肾切除术。结果:术后病理证实为肾嫌色细胞癌。病理分期:pT_14例,pT_22例,pT_(3b)1例,pT_1N_2M_01例,pT_2N_2M_01例。病理分级:G_2 6例,G_33例。7例获随访,随访6~24个月,平均16个月,2例死于心脏病,未见肿瘤局部复发,5例无瘤生存。结论:肾嫌色细胞癌是一种具有特殊形态的少见肾癌类型。根治性肾切除术是治疗肾嫌色细胞癌的首选方法。与同期、同级的其它类型肾癌相比较,肾嫌色细胞癌预后较好。
Objective: To improve the diagnosis and treatment of chromophobe renal cell carcinoma and to recognize this type of renal cell carcinoma. Methods: The clinical and pathological data of 9 cases of chromophobe renal cell carcinoma were retrospectively analyzed. From January 1996 to December 2006, 124 cases of renal cell carcinoma were treated in our hospital, including 9 cases of chromophobe renal cell carcinoma (7.25%), and 9 cases of renal chromophobe cell carcinoma underwent radical nephrectomy. Results: Pathologically confirmed renal cell carcinoma. Pathological stage: pT_14 cases, pT_22 cases, pT_ (3b) 1 case, pT_1N_2M_01 cases, pT_2N_2M_01 cases. Pathological grade: G_2 6 cases, G_33 cases. Seven patients were followed up for 6-24 months with an average of 16 months. Two patients died of heart disease. No local recurrence was found and no tumor was found in 5 patients. Conclusion: Kidney chromophobe carcinoma is a rare form of renal cell carcinoma with a special morphology. Radical nephrectomy is the preferred method of treatment of chromophobe renal cell carcinoma. Compared with the same period, other types of kidney cancer at the same level, the prognosis of renal cell carcinoma is better.