肾脏腺瘤临床病理分析

摘要

Objective To investigate the clinical,imaging ,pathological features and treatment of renal adenoma,so as to improve the level of diagnosis and treatment of the disease. Methods The clinical data ,pathologic feature,surgical methods of 7 cases of renal adenoma in our hospital between January 2008 and May 2008 were analyzed retrospectively,and related literature were analyzed and summarized at the same time. Results In 7 cases of renal adenoma,1 case was renal multiple papillary adenomas,1 case was diagnosed as metanephric adenoma,and the rest 5 cases were diagnosed as oncocytoma . Only 1 case was considered as renal adenoma by preoperative imaging examination. 3 cases underwent nephrectomy,3 cases underwent partial nephrectomy,and 1 case got tumor enucleation. Conclusions Tumor size is a important factor in the diagnosis of renal papillary adenoma. Oncocytoma and metanephric adenoma have special imaging and pathological changes.Nephron sparing surgery can be performed after confirmed diagnoses.%目的 探讨肾脏腺瘤的临床、影像、病理特点及治疗方式,以提高对该类疾病的诊断和治疗水平.方法 回顾性分析2008年1月至2016年5月切除的肾脏良性腺瘤7例,记录其临床病理特点、手术方式,同时结合相关文献进行分析和总结.结果 7例肾脏腺瘤中,病理诊断1例为肾脏多发乳头状腺瘤,1例为后肾腺瘤,5例为嗜酸细胞腺瘤.仅1例术前影像学考虑为良性.3例行肾脏切除,3例行肾部分切除,1例行肿瘤剜除.结论 肾脏乳头状腺瘤肿瘤大小是重要的诊断因素,嗜酸细胞腺瘤和后肾腺瘤影像和病理都有特征性,明确诊断后可行保留肾单位的切除手术.