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目的:提高囊性肾癌的诊治水平。方法:回顾性分析我院2002～2008年间诊治的13例囊性肾癌患者临床资料,分析其影像学特点、病理检查结果及预后情况。结果:术前B超诊断为囊性肾癌6例,CT诊断为囊性肾癌9例,其余4例依术中冷冻切片和术后病理检查结果确诊。5例为多囊性肾癌,8例为单囊性肾癌。11例获得随访,随访3～60个月,7例存活,因癌死亡3例,1例因其他原因死亡。结论:囊性肾癌诊断较为困难,应结合术前影像学检查、术中冷冻切片以及术后病理检查结果确诊,以免漏诊。
Objective: To improve the diagnosis and treatment of cystic kidney cancer. Methods: The clinical data of 13 patients with cystic renal carcinoma diagnosed and treated in our hospital from 2002 to 2008 were retrospectively analyzed. The imaging features, pathological findings and prognosis were analyzed. Results: Preoperative B ultrasound diagnosis of cystic renal cell carcinoma in 6 cases, CT diagnosis of cystic renal cell carcinoma in 9 cases, and the remaining 4 cases were diagnosed by intraoperative frozen section and postoperative pathological findings. 5 cases of polycystic kidney cancer, 8 cases of single cystic kidney cancer. Eleven patients were followed up for 3 to 60 months. Seven patients survived. Three died of cancer and one died of other causes. Conclusion: Cystic renal cell carcinoma is more difficult to diagnose. Diagnosis should be combined with preoperative imaging examination, intraoperative frozen section and postoperative pathological examination to avoid misdiagnosis.