泌尿、男生殖系统肿瘤课件.ppt

文档介绍：Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College泌尿、男生殖系统肿瘤Neoplasms of Urogenital SystemDept. of Urology, The 1th Affiliated Hospital of Kunming Medical College昆明医学院第一附属医院泌尿外科Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical Collegecontent?肾癌的病理特点、临床表现和治疗教学内容?膀胱肿瘤的病因、病理、诊断及治疗?前列腺癌的临床表现及治疗Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical Collegecontent流行病学概述?在我国肿瘤发病中,其发病率相对较低?我国:膀胱癌最常见,其次肾肿瘤?欧美:前列腺癌最常见,我国增长明显Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College第一节肾肿瘤(Tumor of Kidney)概述发病率肾肿瘤多为恶性,任何肾肿瘤在组织学诊断前都应疑为恶性?成人:占恶性肿瘤的2%;多为肾癌,肾盂癌较少?小儿:肾母细胞瘤>20%,最常见的腹部肿瘤Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College常见的肾肿瘤1. 肾癌?来源于肾实质2. 肾母细胞瘤Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College常见的肾肿瘤?来源于肾盂肾盏:尿路上皮肿瘤Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College肾癌(Renal carcinoma)概述?病因不明确?高发年龄50-60岁?男:女为2:1Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College一、病理来源:?大多数源于肾小管上皮细胞分型:?透明细胞癌多见?少见颗粒型及其它类型?淋巴转移最先到肾蒂淋巴结Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College肾癌的病理分型传统分型新分型(1997年)肾透明细胞癌肾透明细胞癌肾乳头状腺癌乳头状肾细胞癌肾颗粒细胞癌肾嫌色细胞癌肾肉瘤样癌肾集合管癌肾未分化癌未分类肾细胞癌Dept. of Urology, The 1th Affiliated Hospital of Kunming Medical College血尿、肿块、疼痛血尿、肿块、疼痛(多为晚期表现)?约10%以转移灶病状就诊:病理骨折、神经麻痹、咳血等?就诊时1/4已有转移。?发热、高血压、血沉快,红细胞增多症,肝功能异常,高钙血症,高血糖;?肿瘤压迫引起精索静脉曲张;?消瘦、贫血、虚弱等晚期症状。二、临床表现( Manifestation)1、三联症:2、副瘤综合征:3、转移灶表现: