摘要
目的提高小于3.0cm偶发性肾脏占位病变的诊治效果。方法对49例肾脏偶发占位病变的诊治进行回顾性总结。结果B超检查发现36例,CT检查发现13例。肾癌31例,高密度肾囊肿10例,肾错构瘤7例,肾皮质腺瘤1例。肾癌术后死亡1例,生存超过5年者14例,1例肾错构瘤随诊肿瘤增大0.6cm,余未见异常。结论肾脏偶发占位病变应根据B超、CT、MRI综合分析作出诊断,定性不明者应行术中冰冻病检。
Objective To review and present the diagnosis and
treatment of small spaceoccupying lesions of kidney less than 3cm in diameter. Methods 49
cases of small spaceoccupying lesions of kidney less than 3cm in diameter were reviewed.
ResultsBZOf the 49 lesions,36 were detected incidentally on Bultrasonography and 13 on CT
scanning.There were 31 cases of renal carcinoma,10 high density renal cyst,7 harmatoma of
the kidney and 1 adenoma of the renal cortex.1 patient died after surgery for renal carcinoma.14
survived more than 5 years.In a case of renal harmatoma on follow up the tumor appeared to
enlarge by 0.6cm. Conclusions The diagnosis of a small spaceoccupying lesion of the kidney
incidentally found on Bultraconography,CT scanning or/and MRI should be made on careful
analysis.When the preoperative diagnosis has been uncertain,pathological studies of the
frozen sections should be carried out.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第6期348-350,共3页
Chinese Journal of Urology
关键词
肾肿瘤
诊断
治疗
Kidney neoplasms Incidental