基础医学与临床 ›› 2015, Vol. 35 ›› Issue (9): 1249-1251.

• 临床园地 • 上一篇    下一篇

2例钙化性肾脏肿物的诊治分析

陈志刚1,纪志刚2,石冰冰3,严维刚4,王清海5,樊华6,李汉忠7,刘洋6   

  1. 1. 北京协和医学院协和医院
    2. 中国医学科学院 北京协和医学院 北京协和医院泌尿外科
    3. 中国医学科学院 北京协和医学院 北京协和医院
    4. 北京协和医院泌尿科
    5. 中国医学科学院 北京协和医学院 北京协和医院 泌尿外科
    6. 北京协和医院泌尿外科
    7. 中国医学科学院北京协和医学院北京协和医院泌尿外科
  • 收稿日期:2015-02-16 修回日期:2015-04-24 出版日期:2015-09-05 发布日期:2015-09-07
  • 通讯作者: 石冰冰 E-mail:shibbpumch@126.com

The diagnosis and treatment analysis of two cases of renal neoplasm with calcification

  • Received:2015-02-16 Revised:2015-04-24 Online:2015-09-05 Published:2015-09-07
  • Contact: Bing-bing SHI E-mail:shibbpumch@126.com

摘要: 目的:探讨钙化性肾脏肿物的诊治。方法:回顾性分析2014年5月到7月北京协和医院收治的2例钙化性肾脏肿物患者的资料,结合文献就其临床表现、诊断和治疗进行分析、讨论。结果:2例患者术前均疑似为肾脏恶性肿瘤。病例1,男性,32岁,行腹腔镜左肾部分切除术,术后病理回报为透明细胞癌(Fuhrman I级);病例2,男性,18岁,因肿物体积较大行开腹右肾部分切除术,术后病理回报为成人型肾母细胞瘤。结论:伴钙化的肾脏肿物临床上较少见,其性质通常依赖于术后病理,手术方式选择上需结合患者年龄、肿瘤大小及肿瘤位置综合考虑,必要时可行术中冰冻。

关键词: 肾脏肿物, 钙化, 肾恶性肿瘤

Abstract: Objective: To investigate the diagnosis and treatment of the renal neoplasm with calcification. Methods: Retrospectively summarized the clinical data of the 2 patients with calcific renal neoplasm admitted in our hospital from the May to July in 2014, then analyzed and discussed the clinical manifestations, diagnosis and treatment combined with the literatures. Results: The two cases were both suspected of renal malignant tumor preoperatively. The case 1 was a 32-year-old male, laparoscopic partial resection of the left kidney was performed, and the postoperative pathology was clear cell carcinoma (Fuhrman level I). The case 2 was a 18-year-old male, partial resection of the right kidney was performed because of the tumor size, and the postoperative pathology was adult nephroblastoma. Conclusion: The calcific renal neoplasm is rare clinically, the property determination depends on postoperative pathology, and as to the choice of surgical method, the patients` age, the tumor size and the tumor location should be taken into consideration, and intraoperative frozen should be performed when necessary.

Key words: Renal neoplasm, Calcification, Renal malignant tumor