11例肾嗜酸细胞腺瘤的诊治分析

Diagnosis Analyses on 11 Cases Renal Oncocytoma

目的探讨肾嗜酸细胞腺瘤的诊治方法。方法回顾性分析11例肾嗜酸细胞腺瘤患者的临床资料,分析其诊治方法。结果行部分切除术的有3例,行根治性切除术的有8例,术中见11例患者都没有淋巴结肿转移,肿块形状呈椭圆形或圆形,都在肾脏实质内,与周围组织分界清楚,包膜完整,在肾脏表面能触及或看见,直径约在0.8~5.0cm,平均2.7cm,直径〈4cm的占大部分,为10例,最大的直径有5.0cm大,在肾盂内就能触及。11例患者的标本经病理检查其结果都为肾嗜酸细胞腺瘤。在随访过程中,无死亡及复发转移患者。结论肾嗜酸细胞瘤在术前诊断较困难,且同一肿瘤中可能并存恶性成分,所以应当采取积极的手术治疗方法,术后要加强密切随访。

Objective To analyze the diagnosis of renal oncocytoma. Methods Retrospectively analyze the treatment of 11 cases renal oncocytoma. Results 3 cases have partial excision, while 8 cases have radical resection. In these 11 cases, there were no aversion of the adenophyma, and the tumor was round or oval-shape, located in renal parenchyma, bad clear demarcation with the surrounding organs, had complete peplos, which can be seen or be touched on the surface of the kidney, with diameter about 0.5 to 5.0 cm, average 2.5cm. 10 of all the cases, the diameters were less than 4cm, while the largest diameter is 5.2cm which can be touched in pelvis. The specimens of all the cases were identified as renal oncocytoma through pathological examination.. During the follow-up visit, there is no death or aversion. Conclusion The diagnosis of renal oncocytoma before surgery is difficult, and the same tumor may accompany by malignancy, so active treatment and closely follow-up visit after surgery should be taken.