|Table of Contents|

Diagnosis and treatment of renal hamartoma(40 cases)

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2018 02
Page:
233-237
Research Field:
Publishing date:

Info

Title:
Diagnosis and treatment of renal hamartoma(40 cases)
Author(s):
Wang Liangliang1; Dong Ajie2; Tang Jiani1; Li Mengbo1; Yu Jingjiang1; Sun Pengfei1; Meng Guanliang1; Bu Renge1
1.Department of Urology;2.Department of Otolaryngology,the Shengjing Hospital of China Medical University,Liaoning Shenyang 110004,China.
Keywords:
renal hamartoma; diagnosis; treatment; nephron-sparing; laparoscopic
PACS:
R737.11
DOI:
10.3969/j.issn.1672-4992.2018.02.019
Abstract:
Objective:To explore the diagnosis and select the appropriate treatment of renal hamartoma.Methods:We retrospectively analyzed and summarized the clinical data,imaging,treatment,pathology and follow-up results of 40 patients with renal hamartoma treated in our hospital from January 2014 to September 2016.Results:In 40 cases,there were 28 cases of imaging were diagnosed as renal hamartoma,the other 12 cases were suspected for kidney cancer.In this group of 40 patients,according to their condition,there were 6 cases underwent conservative treatment and recovery well afther hospital discharge,who were reviewed and followed up for 1 to 22 months.One case followed up to 9 months after the rupture of bleeding admitted to hospital and underwent conservative treatment again.There were 34 cases underwent surgical treatment and were confirmed renal hamartoma by pathology afther operation.The 34 patients underwent surgery recovered well,who were followed up for 2 to 32 months,with no recurrence,malignant transformation and metastasis.Conclusion:Ultrasound and CT is an effective imaging examination in the diagnosis of renal hamartoma.For renal hamartoma,which should be surgical treatment,nephron-sparing surgery(NSS) is ecessary,if patients' tumor diameter is big or associated with rupture of bleeding,open partial nephrectomy surgery should be considered.Laparoscopic partail nephrectomy(LPN) is an effective surgical treatment for tumor diameter is small.

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Last Update: 2017-11-30