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肾结石合并肾盂鳞状细胞癌9例临床诊治分析
Clinical analysis of 9 cases of renal pelvis stones combined squamous cell carcinoma
【摘要】 目的:讨论肾盂结石合并肾盂鳞状细胞癌的诊断和治疗,降低漏诊率。方法:回顾性总结1996~2006年本院收治的9例本病患者,2例行肾脏切除,7例行肾脏根治性切除,术后随访7个月~2年。结果:9例患者术前均未正确诊断,3例患者分别无瘤存活7个月,10个月及2年,6例患者2年内死于肿瘤复发和转移。结论:较大、多发性肾盂结石,合并疼痛及脓尿者,应考虑合并肾盂鳞癌的可能性,早期诊断和治疗是改善预后的关键。
【Abstract】 Objective:To improve the experience of diagnosis and treatment of renal pelvis stones combined squamous cell carcinoma.Methods:To study 9 cases of this kind of patients in our hospital over the past 10 years retrospectively.Radical nephrectomy was performed in 7 patients and simple nephrectomy was perform in 2 cases.The follow-up period rangde from 7 months to 2 years.Results:All the patients were miss-diagnosed before the surgery.3 patients svrvived for 7 months and 10 months and 2 years respectively,while others died from relapse and matastasis.Conclusion:Squamous cell carcinoma of renal pelvis should be suggested of in patients with Large,multiple calculi who suffers lasted and significant flank pain and pyuria.The key to improve the prognosis is the early diagnosis and therapy.
【Key words】 Renal calculus; Squamous cell carcinoma of renal pelvis; Diagnosis; Therapy;
- 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2011年13期
- 【分类号】R737.11;R692.4
- 【被引频次】2
- 【下载频次】97