多房囊性肾细胞癌26例临床诊治分析

Diagnosis and treatment of multilocular cystic renal cell carcinoma:a report of 26 cases

目的:探讨多房囊性肾细胞癌的诊断与治疗。方法:回顾性分析2008年1月~2014年2月收治26例多房囊性肾细胞癌患者的临床表现、诊断方法、手术方式、病理结果及预后情况。结果:26例患者中,行开放手术4例,其中因术中粘连严重中转开放手术2例,微创手术22例,其中腹腔镜手术4例,后腹腔镜手术17例,机器人辅助腹腔镜手术1例;保留肾单位手术14例,根治性肾切除术12例。26例患者术后病理报告均为多房囊性肾细胞癌,26例均获随访,随访12~82个月,平均43.8个月,均未见肿瘤复发和转移。结论:多房囊性肾细胞癌是一种恶性程度低的肾肿瘤,预后良好。影像学检查对其早期诊断有重要价值,手术治疗为多房囊性肾癌的首选治疗方式。

Objective :To study the diagnosis and treat ment of multil ocular cystic renal cell carci no ma .Methods :The cli nical data of manifestati ons ,Diagnosis ,Surgical approaches and Pathol ogy of 26 cases with multil ocular cystic renal cell carci no ma treated fro m January 2008 to February 201 4 were anal yzed retrospecti vel y .Results :Postopera-ti ve pathol ogical exa mi nati on of all 26 cases sho wed multil ocular cystic renal cell carci no ma .Open surgery for 4 cases (laparoscopic surgery with open surgery converti on for 2 cases ),mi ni mall y i nvasi ve surgery for 22 cases (laparo-scopic surgery for 4 cases ,retroperitoneal laparoscopic surgery for 1 7 cases ,robot assisted laparoscopic surgery for 1 case );partial nephrecto my for 1 4 cases ,radical nephrecto my for 1 2 cases .All of the 26 cases were foll o wed up .The mean foll o w-up peri od is 43.8 months ,there was no recurrence or metastasis observed .Conclusions :Multil ocular cystic renal cell carci no ma is characterized as l o wer mali gnant potential with a favorable prognosis .I magi ng plays an i mportant role i n the earl y diagnosis of cystic renal cell carci no ma .Surgery is the preferred treat ment for multil ocular cystic renal cell carci no ma .