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目的:提高对肾移植术后移植肾癌肉瘤的认识及诊疗水平。方法:回顾性分析1例肾移植术后移植肾癌肉瘤患者的临床资料:患者女,73岁,因尿毒症于1 996年10月在外院行肾移植术,移植肾置入右髂窝;因移植肾失功能于2001年3月行第二次肾移植术,移植肾置于左侧髂窝。2006年11月出现右侧移植肾区疼痛,伴镜下血尿。B超、CT检查发现右侧移植肾占位性病变而入院。在全麻下行移植肾探查术,将右侧移植肾完整切除。结果:手术顺利,手术时间3 h,出血量150 ml,病理检查报告为移植肾癌肉瘤。术后2个月,患者出现排斥反应与肠梗阻,病情急剧恶化,家属放弃治疗。结论:移植肾癌肉瘤恶性程度高,预后极差,早期诊断有助于提高生存率。
Objective: To improve the understanding and diagnosis and treatment of renal allograft sarcoma after renal transplantation. Methods: The clinical data of 1 patient with renal cell carcinoma of the kidney after renal transplantation were retrospectively analyzed. The female patient, aged 73, underwent renal transplantation in the hospital due to uremia in October 1996 and the right iliac fossa was implanted into the kidney. Due to graft failure in March 2001 to perform the second renal transplantation, transplant kidney placed in the left iliac fossa. In November 2006 the right side of the renal transplant area pain, with microscopic hematuria. B ultrasound, CT examination found that the right kidney transplant occupying lesions and admission. Under general anesthesia transplant kidney exploration, the right renal transplantation complete resection. Results: The operation was successful, the operation time was 3 h, the amount of bleeding was 150 ml. The pathological examination was reported as renal cell carcinoma of kidney. 2 months after surgery, patients with rejection and intestinal obstruction, the condition deteriorated rapidly, families give up treatment. CONCLUSION: Transplanted renal carcinoma has high malignancy and poor prognosis. Early diagnosis of sarcoma can help improve the survival rate.