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目的:探讨肾盂肉瘤样癌的临床病理特征及预后。方法:对我院2000年1月~2010年12月收治的2例经病理检查证实为肾盂肉瘤样癌患者的临床资料进行回顾性分析。结果:2例术后病理检查均为肾盂肉瘤样癌,手术切缘阴性。1例(45岁,T3N0M0)术后未行放疗和化疗,随访12个月,患者死于全身多处脏器肿瘤转移;1例(80岁,T3N0M0)术后未行辅助治疗,随访10个月,患者死于恶病质。2例患者平均生存时间11个月(10~12个月)。结论:肾盂肉瘤样癌临床罕见,恶性程度高,浸润性强,预后不佳。术前不易确诊,确诊有赖于病理检查。
Objective: To investigate the clinicopathological features and prognosis of pith sarcomatoid carcinoma. Methods: Two cases admitted to our hospital from January 2000 to December 2010 were retrospectively analyzed. The clinical data of patients with pyelosarcoid carcinoma confirmed by pathological examination were retrospectively analyzed. Results: The pathological findings of 2 cases were all pithous sarcomatoid carcinoma. The surgical margins were negative. One case (T3N0M0, 45 years old) did not receive radiotherapy and chemotherapy after the operation. The patients were followed up for 12 months and died of multiple organ metastases. One patient (80 years old, T3N0M0) without adjuvant therapy was followed up for 10 months Month, patients died of cachexia. The average survival time of 2 patients was 11 months (10-12 months). CONCLUSIONS: Laparoscopic carcinoma of the larynx is rare in clinical practice. It has a high degree of malignancy, strong invasiveness and poor prognosis. Preoperative diagnosis is not easy, diagnosis depends on the pathological examination.