摘要
目的探讨肾纤维肉瘤的临床特征及诊疗方案。方法对我院1例左肾纤维肉瘤患者的临床资料进行整理和总结,并通过检索Pubmed数据库对肾纤维肉瘤的相关文献进行复习和讨论。结果患者在我院行左肾肿瘤根治术,肾组织病理诊断为纤维肉瘤,未行放、化疗,门诊随访5个月仍健存。结论肾纤维肉瘤起病一般以腰部疼痛为主,可伴肉眼血尿,临床症状不特异,术前不易明确诊断,确诊需借助免疫组织化学染色。根治性肾切除是目前唯一有效的治疗措施,放、化疗对患者的生存期影响尚不明确。
Objective To explore the clinical features and protocols for diagnosis and treatment of renal fibrosarcoma. Methods We made a summary to the clinical materials of a patient with renal fibrosarcoma and reviewed the past papers about the renal fibrosarcoma through the PUBMED. Results The patient was performed nephrectomy and the pathology showed renal fibrosarcoma. He was still alive in five months＂ follow-up. Conclusions Patients with re- nal fibrosarcoma always complain lumbago but not maerohematuria. So,it is not easy to diagnose before operation and the final diagnosis depends on the immunohistochemistry. Nephrectomy combined with radiotherapy or chemo- therapy is the only effective treatment.
出处
《中国误诊学杂志》
CAS
2012年第2期253-254,共2页
Chinese Journal of Misdiagnostics
关键词
肾肿瘤
纤维肉瘤
Kidney Neoplasms
Fibrosarcoma
