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The UItrasonographic Character And Diagnostic Relization From 5 Cases Cystic Renal Cell Carcinoma

陈海兵  何还珠  万敏

上海华东医院超声诊断科（上海200040）

Chen Hai Bing，He Huan Zhu Wan Ming

Department of Ultrasound，Hua Dong Hospital（Shanghai 200040）

Abstract

　　Objective：To improve the understanding of the cystic renal cell carcinoma.

　　Method：A restrospective analysis was going on 5cases of the cystic renal cell carcinoma comfirmed on pathology about ultrasonographic．Clinical s）Tnptom，implication for treatment and follow－up。

　　Result：Ultrasonographic based on renal cyst（1）monolocular cyst（2 cases：with calcification or nodules on cystic wal（2）muhiloeular cyst（2 cases）（3）solid tumour with low leveal echo（1 case）CDFE CDE technique couldn’t capture any imformation on renal cystic wall，inside and surround．All the ease has syrnpton，especially ．comfirmed as systic renal clear cell on pathology，especially have none hematuria，nephrectomy and the overall results were excellent with no evidence.

　　Conclusion：The cystic renal cell carcinoma is a scarce renal cell

carcinoma with poor vessels，early，sympton，weH－cured．It is appreciation to the complex renal cyst by ultrosand。

　　Key Words：ystic renal cel carcinoma Complex renal cyst

资料与方法

　　资料：我院从1999年～2003年，囊性肾细胞癌（CR－cc）共5例，同期收治肾细胞癌130例。CRCC 5例中，男性3人，女性2人，年龄39－64岁，（39、58、54、47、64）平均年龄52.4岁，体检发现4例，腰酸胀，近期囊肿迅速增大1例。全部病例无肉眼血尿。

　　仪器：HP 8500，SIQUAR 512，LOGIO 9，彩色多普勒超声诊断仪，TOSIBA SSA550，250等，频率3.5。4MHz。