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頁籤選單縮合
題 名 | Mucinous Adenocarcinoma of the Renal Pelvis: An Analysis of 5 Cases=腎盂黏液腺癌:五病例分析 |
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作 者 | 陳兆智; 郭健龍; 林茂盛; 謝輝龍; 林大鐘; 吳其翔; | 書刊名 | 臺灣泌尿科醫學會雜誌 |
卷 期 | 18:4 2007.12[民96.12] |
頁 次 | 頁219-224+241 |
分類號 | 415.818 |
關鍵詞 | 黏液腺癌; 黏液; 腎盂; Mucinous adenocarcinoma; Mucin; Renal pelvis; |
語 文 | 英文(English) |
中文摘要 | 主題:腎盂黏液腺癌是一種非常罕見的泌尿上皮腫瘤,我們在此報告彰化秀傳醫院的臨床經驗。 病例和方法:自1987年到2007年之20年間,彰化秀傳醫院共發現5例腎盂黏液腺癌,我們回溯性記錄並分析其臨床資料,其組織病理切片並由單一位病理科醫師再次確認。 結果:腎盂黏液腺癌佔彰化秀傳醫院泌尿上皮腫瘤的比例為1.4%(5/349),5例皆為男性,平均年齡為69.6歲,所有病例皆合併有腎結石,其中4例並伴隨有腎積水或慢性腎盂腎炎,特別的是,在3例中可以在尿液中發現有黏液物質的存在;2例在診斷後3年內死於腎盂黏液腺癌。 結論:對於腎盂黏液腺癌的早期診斷相當困難,而且其臨床表現亦通常不具特異性;尿液中發現黏液性物質,尤其在腎盂存在某些慢性刺激的病患,可能是一個有意義的徵兆。 |
英文摘要 | OBJECTIVES: Mucinous adenocarcinomas are a rare lesion of the renal pelvis. We present our clinical experience with this disease at Changhua Show-Chwan Memorial Hospital. MATERIALS AND METHODS: We reviewed the medical records of patients presenting with renal pelvic tumors from 1987 to 2007, and identified 5 cases of mucinous adenocarcinoma. Clinical data including age, gender, clinical presentations, laboratory data, concomitant disease, treatment, and outcomes were retrospectively analyzed, and the histopathological diagnoses were confirmed by a single pathologist. RESULTS: The incidence of mucinous adenocarcinoma of epithelial tumors of the renal pelvis in our hospital was 1.4% (5/349). The mean age of these 5 patients, all men, was 69.6 (range, 64~79) years. All patients had renal stones, and 4 patients had hydronephrosis with or without chronic pyelonephritis. Urinalysis confirmed mucin in the urine of 3 patients (60%). Two of the 5 patients (40%) died of a mucinous adenocarcinoma within 3 years of their diagnosis. CONCLUSIONS: Early diagnosis of mucinous adenocarcinoma is difficult, and clinical presentations are usually nonspecific. Mucin in the urine might be a sign of this disease, especially in patients who also have chronic irritation of the renal pelvis. |
本系統中英文摘要資訊取自各篇刊載內容。