[肾囊性肿物：诊断困境]
[Renal cystic mass: the diagnostic dilemma].
作者信息
Albisu Tristán A, Vesga Molina F, Llarena Ibarguren R, Arruza Echevarria A, Acha Pérez M, Blasco de Villalonga M, Pertusa Peña C
机构信息
Servicio de Urología, Hospital de Cruces, Baracaldo, Vizcaya, España.
出版信息
Arch Esp Urol. 1995 Oct;48(8):767-72.
OBJECTIVE
To determine the best diagnostic approach and management of cystic renal mass.
METHODS
Four cases are described and the literature reviewed.
RESULTS
Of the 4 cases of cystic renal mass, 2 had a previous history of renal trauma. Puncture and aspiration of the cystic content were performed in three cases; cytology was positive for malignancy in one, which was confirmed by the histologic analysis. Two cases underwent nephrectomy although one of the post-traumatic cases had a preoperative diagnosis of pararenal pseudocyst. The literature review showed a significant controversy exists concerning the diagnostic approach and treatment.
CONCLUSIONS
We advocate an approach free from tenets, where all the appropriately chosen diagnostic tools may be valid. If doubts persist after diagnostic evaluation, nephrectomy should be performed.
目的
确定肾囊性肿块的最佳诊断方法及处理方式。
方法
描述4例病例并回顾相关文献。
结果
4例肾囊性肿块病例中，2例有肾外伤史。3例行囊肿内容物穿刺抽吸；其中1例细胞学检查提示恶性，经组织学分析确诊。2例行肾切除术，尽管其中1例创伤后病例术前诊断为肾周假性囊肿。文献回顾显示，关于诊断方法和治疗存在重大争议。
结论
我们提倡一种不拘泥于原则的方法，所有适当选择的诊断工具都可能是有效的。如果诊断评估后仍存在疑问，应行肾切除术。
Zotero 插件