文章摘要
Jin Wen,Han zhong Li,He Xiao.[J].南京医科大学学报,2008,28(2):117~120
Analysis of renal cyst of high density containing proteinaceous fluid:report of 6 cases
投稿时间:2007-07-28  
DOI:10.7655
中文关键词: 
英文关键词: high-density  renal cyst  diagnosis  treatment
基金项目:
作者单位
Jin Wen Department of Urology, PeKing Union Medical College Hospital, Chinese Academy of Medical Sciences& PeKing Union Medical College,Beijing 100730, China 
Han zhong Li  
He Xiao  
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中文摘要:
      
英文摘要:
      Objective:To investigate clinical features and imageology of renal cysts of high density, containing proteinaceous fluid and increase the diagnosis and treatment level of this special type renal cyst. Methods:Six cases were proven to be renal cysts of high density(pathologically) from 2002 to 2007 were reviewed. Among 6 cases, 1 was in the upper pole of kidney, 4 were medial and 1 was located in the anus perineum . All were 2-5 cm in size. Ultrasonography(US) excretory unognaphy, multiphase CT and renal angiography DSA imaging was performed for preoperative diagnosis. The preoperative diagnosis found renal neoplasms in 4 and renal cysts in 2. All of them were operated by partial nephrectomy. Results:All of the 6 renal high density renal masses were resected surgically, which were proved pathologically to be renal cysts; high density present. All of them contained proteinaceous fluid with benign cyst walls on histologic examination. No recurrence was seen in any of these cases during a long follow-up. Conclusion:CT and B-US have a higher diagnostic value, which can show the internal shape and character better. B-US or CT guided puncturing biopsy can be better applied to atypical renal cysts. Once the correct diagnosis is acquired, laparoscopic surgical treatment should be carried out.
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