期刊文献+

肾结石合并肾盂鳞状细胞癌的早期诊断与治疗(附2例报告) 被引量:14

Early diagnosis and treatment of renal calculi complicated with renal squamous carcinoma:A report of 2 cases
下载PDF
导出
摘要 本研究报告肾结石合并肾盂鳞状细胞癌2例,结合相关文献探讨其早期诊断及治疗方法。该2例均有典型肾绞痛病史及合并血尿和脓肿,CT检查提示肾盂癌1例。其中1例术中经冰冻病理确诊后。行根治性患肾切除术,术后随访18个月无复发;另1例术后行全身化疗,4个月后死于全身衰竭。2例病理诊断均为鳞状细胞癌。分析认为,肾结石合并肾盂鳞状细胞癌恶性程度高、预后差,早期诊断较为困难,排泄性尿路造影及CT等检查有助于明确诊断,治疗以根治性患肾切除为主。 From 1983 to 2000, 2 patients with squamous cell carcinoma of the renal pelvis associated with renal calculi were treated in our department. The literature was reviewed to discuss the diagnosis and the treatment. Both of the 2 patients presented with typical renal colic, gross hematuria and renal abscess. In one patient, renal pelvic tumor was diagnosed by CT before operation and radical nephrectomy was carried out after squamous cell carcinoma was detected with frozen section during operation. No recurrence was developed during a follow-up of 18 months. Another patient received systemic chemotherapy and died from cancer collapse after 4 months. Squamous cell carcinoma of the renal pelvis is uncommon and associated with renal calculi. Typically, these are poorly differentiated tumors with poor prognosis. Early diagnosis is difficult and radical nephrectomy is the first-choice treatment.
出处 《第二军医大学学报》 CAS CSCD 北大核心 2003年第10期1157-1159,共3页 Academic Journal of Second Military Medical University
关键词 肾结石 合并症 肾盂鳞状细胞癌 早期 诊断 治疗 renal calculi renal pelvis carcinoma,squamous cell diagnosis therapy
  • 相关文献

参考文献8

  • 1顾方六 见:吴阶平 马永江主编.泌尿及男生殖系肿瘤[A].见:吴阶平,马永江主编.实 用泌尿外科学[C].北京:人民军医出版社,1995.235.
  • 2顾方六.肾盂及输尿管肿瘤[A].见:吴阶平主编.泌尿外科.第2版[C].济南:山东科技出版社,1993.456.
  • 3Messing EM. Urothelial tumors of the urinary tract[A]. In:Walsh PC,Retik AB,Vaughan ED,et al,eds. Campbell's urology [M]. Philadelphia: WB Saunders Company, 2002. 2732-2784.
  • 4Li MK, Cheung WL. Squamous cell carcinoma of the renal pelvis[J]. J Urol,1987,138(2) :269-271.
  • 5Kimura T, Kiyota H, Asano K ,et al. Squamous cell carcinoma of the renal pelvis with inferior vena caval extension[J]. Int J Uroi,2000,7(8):316-320.
  • 6Tlili GK ,Gharbi JH,Atallah R ,et al. Uhrasonographic aspects of kidney pelvis tumors associated with infectious hydronephrosis of lithiasic origin[J]. J Radiol, 1994,75(4) :253-256.
  • 7Blute ML,Segura JW,Patterson DE,et al. Impact of endourology on diagnosis and management of upper urinary tract urothelial cancer[J]. J Urol, 1989,141(6): 1298-1301.
  • 8Conde JM, Espinosa J ,Rico J, et al. Squamous cell carcinoma of the renal pelvis[J]. Actas Urol Esp,2001,25(7) :513-518.

共引文献2

同被引文献117

引证文献14

二级引证文献29

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部