2例钙化性肾脏肿物的诊治分析

The diagnosis and treatment of two cases of renal neoplasm with calcification

目的探讨钙化性肾脏肿物的诊治。方法回顾性分析2014年5月到7月北京协和医院收治的2例钙化性肾脏肿物患者的资料,结合文献就其临床表现、诊断和治疗进行分析、讨论。结果 2例患者术前均疑似为肾脏恶性肿瘤。病例1,男性,32岁,行腹腔镜左肾部分切除术,术后病理回报为透明细胞癌(FuhrmanⅠ级);病例2,男性,18岁,因肿物体积较大行开腹右肾部分切除术,术后病理回报为成人型肾母细胞瘤。结论伴钙化的肾脏肿物临床上较少见,其性质通常依赖于术后病理,手术方式选择上需结合患者年龄、肿瘤大小及肿瘤位置综合考虑,必要时可行术中冰冻。

Objective To investigate the diagnosis and treatment of renal neoplasm with calcification. Methods Retrospectively summarized the clinical data of the 2 patients with calcifie renal neoplasm admitted in our hospital from the May to July in 2014, then analyzed and discussed the clinical manifestations, diagnosis and treatment com- bined with the literatures. Results The two cases were both suspected of renal malignant tumor preoperatively. The case 1 was a 32-year-old male, laparoscopic partial resection of the left kidney was performed, and the postoperative pathology was clear cell carcinoma （Fuhrman level I）. The case 2 was a 18-year-old male, partial resection of the right kidney was performed because of the tumor size, and the postoperative pathology was adult nephroblastoma. Conclusions The ealcifie renal neoplasm is a rare disease, the property determination depends on postoperative pa- thology, and as to the choice of surgical method, the patients＇ age, the tumor size and the tumor location should be taken into consideration, and intraoperative frozen should be performed when necessary.