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目的探讨囊性肾细胞癌的诊断和治疗方法。方法回顾性分析2005年5月至2010年5月淮安市第二人民医院收治的30例肾癌中存在囊性成分病例的临床特点、影像学表现、手术治疗方式的选择、病理特点以及随访的情况。结果本组30例患者均获随访,随访时间为1～12年,其中28例定期复查未见肿瘤复发及转移。死亡2例,分别于术后第67,年死于癌肿复发转移。结论囊性肾癌是一种少见的临床病理亚型,手术切除特别是保留肾单位手术能有效地治疗囊性肾癌,临床预后很好。
Objective To investigate the diagnosis and treatment of cystic renal cell carcinoma. Methods The clinical features, imaging findings, surgical treatment options, pathological features and follow-up of 30 patients with renal cell carcinoma admitted to Second People’s Hospital of Huaian from May 2005 to May 2010 were retrospectively analyzed. Happening. Results All the 30 patients were followed up for 1 to 12 years. No recurrence or metastasis was found in 28 of them. 2 died, respectively, in the 67th postoperative year, died of cancer recurrence and metastasis. Conclusions Cystic renal cell carcinoma is a rare subclinical and pathological subtype. Surgical resection, especially nephron-preserving surgery, can effectively treat cystic renal cell carcinoma with good prognosis.