摘要
目的 探讨成人原发性肾肉瘤的诊断、治疗及预后。 方法 1985 ~1995 年共收治肾脏肿瘤353 例,其中成人原发性肾肉瘤7 例,占19 % 。采用回顾性研究。 结果 7 例均行外科手术治疗。术后病理确诊平滑肌肉瘤3 例、横纹肌肉瘤2 例、梭形细胞肉瘤1 例、低分化肉瘤1 例。术中死亡1 例。术后随访3 ~60 个月,平均生存14 个月。 结论 成人原发性肾肉瘤高度恶性,以平滑肌肉瘤最常见。早期诊断和外科手术切除是目前唯一提高疗效的方法,但总体预后较差。
Objective To review 7 cases of renal sarcoma in adults and to present the diagnosis,treatment and prognosis. Methods From 1985 to 1995,7 cases of renal sarcoma in adults out of 353 cases of renal neoplasms (1.9%) were treated.The 7 cases were reviewed. Results All the 7 cases were confirmed on pathological studies,consisting of 3 leiomyosarcoma,2 liposarcoma,1 spindle cell sarcoma and the other 1 not specified.Radical nephrectomy was conducted for all with 1 short term mortality.The others survived for a mean of 14 months. Conclusions Renal sarcoma was more common in female,pain and a palpable mass being the most common presenting complaints.The tumors were bigger than 10cm.On CT and MRI cystic mass with solid components could be observed.Surgical ablation is the only means of treatment yet the prognosis is poor.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第10期587-588,共2页
Chinese Journal of Urology