肾嫌色细胞癌影像检查与病理检查的诊断价值比较

Comparison of the Diagnostic Value of Imaging and Pathological Examination for Chromophobe Renal Cell Carcinoma

目的比较分析肾嫌色细胞癌的影像检查与病理检查的诊断价值。方法回顾性分析经手术病理检查证实的51例肾脏嫌色细胞癌的临床资料。结果 51例患者肿瘤大小1.5-18 cm,平均6.1 cm,影像检查与病理检查结果,显示与相似肾肿瘤较为明显的差异表现。其中5例予以肾部分切除,其余46例行根治性肾切除。术后经随访3个月到4年,3例广泛转移,7例失访,其余41例均未见局部肿瘤复发、转移。结论肾脏嫌色细胞癌术前影像学检查具有较大程度的意义,能与大多数相似肾脏肿瘤进行鉴别;确诊主要依据术后病理组织学检查。

Objective To compare and analyze the diagnostic value of imaging and pathological examination for chromophobe renal cell carcinoma. Methods A retrospective analysis of 51 cases of chromophobe renal cell carcinoma confirmed by pathological examination were conducted. Results In the 51 patients,the size of masses varies between 1. 5 - 18 cm,the average was 6. 1 cm. There had obvious differences in imaging and pathological examination compared with similar-manifestated renal tumors. 5 cases underwent partial nephrectomy,the remaining 46 underwent radical nephrectomy. Postoperative follow-up was 3months to 4 years,3 cases had metastasis,7 cases were lost to follow-up,and the remaining 41 cases had no local recurrence or metastasis. Conclusion Imaging examination before surgery has great significance for chromophobe renal cell carcinoma,and it can differentiate from most similar renal tumors,and accurate diagnosis depends on histological examination.