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目的 探讨囊性肾癌影像学特点及临床诊断。方法 回顾我院 1991～ 2 0 0 1年经手术证实的 13例囊性肾癌 ,分析其影像学特点、术中所见、术后病理。结果 本组 4例为多囊性肾癌 ,9例为单囊性肾癌。术前CT诊断 8例 ,超声诊断肾癌 7例。 6例术前诊断不明确 ,行手术探查 ,病理证实为肾细胞癌。结论 囊性肾癌术前诊断有一定难度 ,影像学检查有较高的诊断价值 ,但部分病人尚需手术探查
Objective To investigate the imaging features and clinical diagnosis of cystic renal cell carcinoma. Methods 13 cases of cystic renal cell carcinoma confirmed by operation in our hospital from 1991 to 2001 were retrospectively reviewed. Their imaging characteristics, intraoperative findings and postoperative pathology were analyzed. Results The group of 4 cases of polycystic kidney cancer, 9 cases of single cystic kidney cancer. Preoperative CT diagnosis in 8 cases, ultrasound diagnosis of renal cell carcinoma in 7 cases. 6 cases of preoperative diagnosis is not clear, surgical exploration, pathology confirmed as renal cell carcinoma. Conclusions There are some difficulties in preoperative diagnosis of cystic renal cell carcinoma, and imaging examination has high diagnostic value. However, some patients still need surgical exploration