32例小肾癌诊治分析

Analysis of small renal cell carcinoma in 32 cases

目的:探讨小肾癌的诊断和治疗。方法:对32例直径小于3 cm的小肾癌的临床资料进行回顾性分析。结果:32例中因体检或其他疾病检查时发现15例(46.8%),腰痛6例(15.6%),血尿2例(6.2%),腰痛伴血尿3例(9.3%),无症状6例(18.7%)。行根治性肾切除术12例,行保留肾单位手术20例。术后均经病理证实,术中快速冰冻切片证实2例。结论:小肾癌多为偶然发现,其早期诊断主要依靠B超、CT、肾血管造影等影像学检查;手术视患者具体情况行根治性肾切除术或保留肾单位手术;小肾癌病理分期低,肿瘤体积小,预后较好,生存率高。

Objective：To improve the diagnosis and treatment of small renal cell carcinoma. Methods：32 cases of smaLl cell carcinoma less than 3cm in diameter were reviewed. Results： 15 patients （46.8%） were asymtomatic while 6（15.6%） had complain of lumbago, 2（6.2%） hematuria and 3 hematuria with lumbago （9.3%）,6 no symptom （18.7%）. 12 patients were treated with radical nephrectomy,20 with nephron sparing surgery. All carcinomas were confirmed after operation. Conclusion：Small renal cell carcinoma are often discovered accidentally. The early diagnosis mainly depends on imaging examination,such as B uhrasound,CT scan,renal angiography.Radical nephrectomy or nephron sparing surgery should be performed according to different situations. Small renal cell carcinoma has lower clinical stage.The smaller the size, the better the prognosis and the higher the survival rate.