Bosquet Manuel, Domínguez Carlos, Balaguer Julia, Serrano Agustin, Estornell Francisco, Martínez-Verduch Mario, García-Ibarra Fernando
Department of Urology, La Fe Children's Hospital, Valencia, Spain.
Urology. 2008 Oct;72(4):790-3. doi: 10.1016/j.urology.2008.03.030. Epub 2008 May 27.
To report our experience with pediatric renal adenocarcinoma.
We conducted a retrospective review of renal adenocarcinoma cases from 1971 to 2006.
We treated 154 patients with renal tumor, 4 (2.6%) of whom had adenocarcinoma. The mean age of presentation was 8.5 years (range, 2-15 years). Three patients were female and 1 was male. The most common histologic subtype was clear cell carcinoma. Three patients were diagnosed as stage IIIB and one as stage II, according to Robson's classification. All patients were treated with radical nephroureterectomy. One patient died of disease and the other 3 are currently disease-free.
Adenocarcinoma is an uncommon histopathologic type of pediatric renal tumor. In patients with hematuria and abdominal or flank pain, we should consider this tumor as a possible diagnosis.
报告我们在小儿肾腺癌方面的经验。
我们对1971年至2006年的肾腺癌病例进行了回顾性研究。
我们治疗了154例肾肿瘤患者，其中4例（2.6%）为腺癌。出现症状时的平均年龄为8.5岁（范围2 - 15岁）。3例为女性，1例为男性。最常见的组织学亚型是透明细胞癌。根据罗布森分类法，3例患者被诊断为IIIB期，1例为II期。所有患者均接受了根治性肾输尿管切除术。1例患者死于疾病，其他3例目前无疾病。
腺癌是小儿肾肿瘤中一种不常见的组织病理学类型。对于有血尿和腹部或侧腹疼痛的患者，我们应考虑将这种肿瘤作为可能的诊断。
