肾嫌色细胞癌的诊断和治疗

摘要

目的：探讨肾嫌色细胞癌（renal chromophobe cell carcinoma，RCCC）的临床特征、病理学特点、诊断、治疗方法和预后。方法：回顾性分析2010年2月至2015年4月期间经病理检查证实的11例 RCCC 患者的临床资料，结合相关文献复习并进行讨论。结果：11例患者中7例男性，4例女性，年龄40～71岁，平均59岁。肿物直径3．5～14．5cm。病变位于右侧者6例，左侧5例。术前无症状者6例，单纯性腰背部疼痛不适5例。11例患者均经 CT 检查确诊，均行手术治疗。手术过程顺利，术后均有病理证实为肾嫌色细胞癌。出院后随访3～36个月，无肿瘤复发和转移。结论：RCCC 是一种低度恶性，少见的肾脏肿瘤。手术治疗是首选方法，预后较好。%Objective:To investigate the clinical features,pathological characteristics,diagnosis,treatment and prognosis of renal chromophobe cell carcinoma(RCCC).Methods:Clinical data of 11 cases of RCCC were analyzed retrospectively and pertinent literatures were reviewed.Results:Seven cases were males and 4 cases were females, aged 40 ~71,averaged 59 years old.Bump diameter 3.5 ~14.5cm.6 cases were on the right kidney and the other ca-ses were on the left side.6 cases had no symptoms,5 cases complained about simple backache.11 cases were all taken CT scan for diagnosis and undertaken open or laparoscopic surgery.During 3 to 36 months follow -up,no tumor re-lapse.Conclusion:RCCC is a low grade rare renal tumor and the treatment mainly depends on the surgery.Surgery was the preferred method of treatment,and the prognosis is good.