肾嗜酸性细胞瘤的诊治体会（附11例报告）

目的：探讨肾嗜酸细胞瘤的诊断和治疗。方法：回顾分析我院2003．2009年间收治11例肾嗜酸细胞瘤的临床资料，结合文献对肾嗜酸细胞瘤的诊断及治疗进行复习讨论。结果：本组11例患者中，年龄为26—75岁，男性7例，女性4例。合并透明细胞癌者1例，术前误诊为肾上腺肿瘤者1例。7例行根治性肾切除术者，4例行肾部分切除术。术后随访11个月-7年未见肿瘤转移或复发。结论：肾嗜酸细胞瘤倾向于良性肾实质性肿瘤，临床表现无特异性，确诊需临床表现、影像学检查与病理学检查相结合。治疗首选保肾手术，但应注意并发恶性肿瘤的可能，加强随访。

Diagnosis and Treatment of Renal Oncocytoma （11 Cases Report）

Objective： To evaluate the diagnosis and treatment of renal oncocytoma. Methods： Retrospective analysis of the clinical data of 11 cases of renal oncocytoma admitted to our hospital from 2003 to 2009, and discussed its diagnosis and treatment with literature reviewed. Results： 11 Patients, including 7 males and 4 females, ware 26 to 75 years old. There were 1 case with Clear cell carcinoma, 1 case misdiagnosed as adrenal gland tumors, 1 case misdiagnosed as renal cell carcinoma and had done radical nephrectomy, and other 10 patients had done partial nephrectomy. No recurrence or metastasis was reported later from I I months to 7 years. Conclusions： It tends to be benign renal tumor. It has no specific features on the Clinical manifestations. The diagnosis should be established on symptom, physical sign, imaging and pathology. Nephron-sparing surgery should be done, and the follow-up is important because the tumor may be combined with malignancy tissues.