Porst H, Mayer R, Brühl P
Urologe A. 1986 Jan;25(1):38-42.
Renal oncocytomas are a well-defined tumor entity and can be differentiated from renal cell carcinomas both from the histological point of view and the clinical course. An illustration of three case reports and a review of the literature underline the diagnostic and therapeutic dilemma in the management of this tumor-type. At present no pre- or intraoperative diagnostic means are available for definite differentiation of pure renal oncocytomas from renal cell carcinomas. Because of this lack of reliable diagnostic means therapeutic management of oncocytomas will continue to be in nephrectomy. In a minority of the reported cases oncocytomas were found in a bilateral or multicentric manifestation thus requiring a more conservative surgical management as recommended for bilateral hypernephromas.
肾嗜酸细胞瘤是一种明确的肿瘤实体，从组织学角度和临床病程来看都可与肾细胞癌相鉴别。三个病例报告的举例及文献综述突显了该肿瘤类型管理中的诊断和治疗困境。目前尚无术前或术中诊断方法可明确区分纯肾嗜酸细胞瘤与肾细胞癌。由于缺乏可靠的诊断方法，嗜酸细胞瘤的治疗仍将以肾切除术为主。在少数报告病例中，嗜酸细胞瘤呈双侧或多中心表现，因此需要像双侧肾上腺瘤那样采取更保守的手术治疗。
