囊性肾细胞癌5例超声特征及诊断体会

The Ultrasonographic Character And Diagnostic Relization From 5 CasesCystic Renal Cell Carcinoma

目的:提高对囊性肾细胞癌的认识。方法:回顾我院5例经病理诊断为囊性肾细胞癌病例的超声图像、临床症状和预后随访。结果:肿瘤声像图在肾囊肿的基础上,分为(1)单房囊肿型(2例),囊壁见光斑,不均匀增厚,或乳突状突起。(2)多房囊肿型(2例)。(3)低回声实体型(1例)。CDFI、CDF在肿瘤的周围、内部及囊壁均无明显异常血流信号。5例患者均无明显临床症状,特别是血尿,全部为透明细胞癌,均行根治性切除术,无淋巴转移,均无复发和转移。结论:囊性肾细胞癌是一种罕见的肾细胞癌,是少血管性肿瘤,一般为早期,临床上一般无症状,预后较好。超声显示复杂性囊肿在临床上要引起重视。

Objective:To improve the understanding of the cystic renal cell carcinoma Method: A restrospective analysis was going on 5cases of the cystic renal cell carcinoma comfirmed on pathology about ultrasonographic, clinical symptom implication for treatment and follow-up. Result: Ultrasonographic based on renal cyst(1) monolocular cyst(2 cases:with calcification or nodules on cystic wall (2)multilocular cyst(2 cases)(3)solid tumour with low leveal echo (1 case)CDFE CDE technique couldn't capture any imformation on renal cystic wall ,inside and surround. All the case has sympton,especially .comfirmed as systic renal clear cell on pathology,especially have none hematuria,nephrectomy and the overall results were excellent with no evidence. Conclusion: The cystic renal cell carcinoma is a scarce renal cell carcinoma with poor vessels ,early,sympton,well- cured.It is appreciation to the complex renal cyst by ultrosand.