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后肾腺瘤五例诊治分析

Diagnosis and Management of Metanephric Adenoma:Report of Five Cases and Literature Review

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【作者】 赵伟李振华孔垂泽

【Author】 ZHAO Wei,LI Zhen-hua,KONG Chui-ze.Department of Urology,First Affiliated Hospital of China Medical University,Shenyang 110001,China

【机构】 辽宁省沈阳市中国医科大学附属第一医院泌尿外科

【摘要】 目的探讨后肾腺瘤的临床症状、影像学及病理学特点、治疗及效果,提高其诊治水平。方法回顾性分析我院2000—2010年收治的5例后肾腺瘤患者的临床症状、实验室检查、影像学检查、病理检查结果、治疗方案及效果。结果患者均经彩色多普勒超声检查发现,经CT检查诊断为肾肿瘤,经病理及免疫组化检查证实为后肾腺瘤。行手术治疗,随访4个月~5年均无瘤生存。结论后肾腺瘤是一种非常罕见的肾脏良性肿瘤,保留肾单位的肿瘤剜除术或肾切除术具有良好的治疗效果,术后长期随访具有重要意义。

【Abstract】 Objective To summarize experiences in the diagnosis and treatment of metanephric adenoma.Methods The symptoms,laboratory test results,imaging fingdings,pathological examinations,treatment,and outcomes of 5 patients with metanephric adenoma at our hospital from Jan 2000 to June 2010 were retrospectively reviewed.Results All the cases were initially identified by ultrasound,and were diagnosed as renal tumors by computed tomography(CT).They were ultimately confirmed as metanephric adenoma by pathological and immunohistochemical examinations.All these 5 patients underwent surgical treatment.No recurrence was found during the follow-up,which lasted 4 months to 5 years.Conclusion Metanephric adenoma is a rare benign renal tumor.Tumor enucleating or nephrectomy has proved to be an ideal method to treat metanephric adenoma.Long-term post-operative follow-up is essential.

  • 【文献出处】 中国全科医学 ,Chinese General Practice , 编辑部邮箱 ,2011年02期
  • 【分类号】R737.11
  • 【被引频次】2
  • 【下载频次】111
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