中老年人肾脏炎性肌纤维母细胞瘤3例并文献复习

摘要

目的 回顾性分析3例中老年肾脏炎性肌纤维母细胞瘤的临床资料,以提高其诊治水平. 方法 分析2005年1月至2014年6月在北京协和医院诊治并经病理证实的肾脏炎性肌纤维母细胞瘤中老年患者3例,总结患者性别、年龄、临床表现、肿瘤影像学和病理特点、治疗方式及预后.结果 患者平均年龄60岁,1例患者行肾部分切除术,1例患者行肾根治性切除术,另1例患者行肾输尿管全长切除术.随访8个月至10年,未见肿瘤复发. 结论 肾脏炎性肌纤维母细胞瘤是一种低度恶性潜能的肿瘤,手术是确诊和治疗的首选,预后良好.%Objective To retrospectively analyze the clinical data of 3 middle-aged and elderly cases with inflammatory myofibroblastic tumor (IMT) of the kidney,in order to improve its diagnosis and treatment.Methods The records of 3 patients who were diagnosed as IMT of the kidney by pathology in our hospital from Jan 2005 to Jun 2014 were reviewed to identify the characteristics including age,gender,clinical manifestation,tumor imaging and pathological features,treatment and prognosis.Results The mean age of the patients was 60 years.One patient underwent partial nephrectorny,1 patient underwent radical nephrectomy,and another patient received nephroureterectomy with bladder cuff excision.Patients were followed up for 8 months to 10 years,and no tumor recurrence was found.Conclusions IMT of the kidney is the tumor of low malignant potential with a good prognosis.Surgery is the first choice for the diagnosis and treatment.