误诊疾病数据库2004—2013年单病种误诊文献研究:肾癌

Research on 2004—2013 Single Disease Misdiagnosis Document of Misdiagnosed Disease Database: Renal Carcinoma

肾癌是泌尿系常见恶性肿瘤,近年发病率呈上升趋势。临床表现极不一致,有血尿、肿块和腰部疼痛等典型症状者仅占5%-16%,易误诊误治。本文对中国误诊疾病数据库收录的2004—2013年与肾癌有关的40篇文献进行分析,显示肾癌总误诊病例数132例,延误诊断时间最短8 d,最长3年;共误诊为23种疾病,居前5位的疾病包括：肾囊肿、肝癌、泌尿系结石、肾错构瘤、肾盂肾炎,误诊原因主要为经验不足、对该病缺乏认识。提示临床各种肾疾病间易相互误诊,提高对肾癌的整体认识、及时行相关检查并注意对肾外表现的鉴别是避免误诊的关键。

Renal carcinoma is a common malignant tumor in the urinary system,and its incidence rate has increased in recent years. Its clinical manifestations vary and there are only 5%-16% of the typical symptoms of hematuria,mass and waist pain,which may be easily misdiagnosed. This paper analyzes the database about Chinese misdiagnosed diseases including 40 documents about renal carcinoma between 2004 and 2013,and the total number of misdiagnosis of renal carcinoma is132 cases,and the shortest delayed time of diagnosis is 8 days,while the longest is three years; 23 kinds of diseases are misdiagnosed,ranking the top five diseases are： renal cyst,liver cancer,urinary calculus,renal hamartoma,and pyelonephritis;The main cause of misdiagnosis is the lack of experience and awareness of renal carcinoma. It is suggested that the renal diseases tend to be misdiagnosed. To improve the overall recognition of renal carcinoma,make timely check-ups and pay more attention to the identification of renal manifestations are key to avoiding misdiagnosis.