摘要
报告术前诊断为肾癌者45例,经病理诊断证实者43例,误诊2例,1例为肾实质内囊肿,1例活检阴性。作者评价了现代诊断手段并分析了误诊原因,对术前诊断为“小肾癌”、“偶发癌”以及外科治疗的有关问题进行了讨论。认为不能绝对相信B超、CT之诊断,对术前诊为“小肾癌”的病例应持慎重态度,不能一概切除患肾;强调早期诊断和早期行肾癌根治术的意义。
Forty-five cases with preoperative diagnosis of renal cell carcinoma were presented. Of them pathological section confirmed the diagnosis of carcinoma in 43 cases, misdiagnosis in 2 cases, in whom one case was renal cyst and the other no pathological finding. The value of modern techniques of diagnosis of renal carcinoma, factors of misdiagnosis and surgical management concerning the smaller tumor and incidental cancer of the kidney were discussed. The diagnosis of renal carcinoma couldn't absolutely depend only on the ultrasonography and CT findings, and should adopt a precautious policy in surgical treatment of renal smaller tumor. The importance of early diagnosis and radical nephrectomy for renal carcinoma were emphasized.
出处
《临床泌尿外科杂志》
北大核心
1993年第2期69-71,共3页
Journal of Clinical Urology
