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肾癌误诊为肾良性肿瘤六例分析 被引量:1

Clinical analysis of differential diagnosis between renal cell carcinoma and benign renal tumor
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摘要 目的探讨肾癌(RCC)的临床特点、误诊为肾良性肿瘤的原因。方法回顾性分析6例误诊为肾良性肿瘤的肾癌患者的临床资料。结果6例术前全部误诊,均行手术治疗;术中行冰冻病理检查,结果都提示为肾细胞癌,遂行患肾根治切除术。手术均成功,预后良好。结论肾细胞癌系恶性疾病,临床表现与肾良性肿瘤相似,临床医师应重视此病,结合病史、体检、影像学检查以及其他检查以明诊断。 Objective To analyze the clinical characteristics and reasons for the misdiagnosis of renal cell carcinoma. Methods Six cases of renal cell carcinoma misdiagnosed as benign renal tumor were retrospectively analyzed. Results All 6 cases were misdiagnosed before operation and received surgical treatment. Intra-operative pathological examination of fast-frozen specimens was performed and showed renal cell carcinoma. Then radical nephrectomy was performed for all of them. Conclusions Renal cell carcinoma was a kind of malignant disease. The clinical manifestations and biochemical findings of renal cell carcinoma were similar to those of benign renal tumor. The atypical clinical manifestation of renal cell carcinoma sug- gests that the doctors should attach much importance to this kind of disease. The correct diagnosis was made mainly by the combination of case history, physical examination, iconograpbic examination and other special examinations.
出处 《中国肿瘤临床与康复》 2008年第2期149-151,共3页 Chinese Journal of Clinical Oncology and Rehabilitation
关键词 肾肿瘤 误诊 Renal neoplasms Misdiagnosis
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  • 1吴阶平.吴阶平泌尿外科学[M].第4版.济南:山东科学技术出版社,2004.899-917.
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