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,肾脏肿瘤组织学分类 一、肾细胞肿瘤renal cell carcinoma 透明细胞肾细胞癌rcc=renal cell carcinoma 多房囊性肾细胞癌multilocular cystic renal cell carcinoma mltlkjl 乳头状肾细胞癌Papillary renal cell carcinoma pplr 嫌色细胞肾细胞癌chromophobe renal cell carcinoma krmfb 集合管癌Collecting duct carcinoma 肾髓质癌renal medullary carcinoma 伴有 转位 基因With transposition of gene trnspzn 融合的肾细胞癌The fusion of renal cell carcinoma 神经母细胞瘤相关肾细胞癌Neuroblastoma associated renal cell carcinoma njrblstm 黏液小管和梭形细胞癌Mucinous tubular and spindle cell carcinoma tju:bjl(r) spndl 肾细胞癌,未分类Renal cell carcinoma, undifferentiated ndfrenietd 乳头状腺瘤Papillary Adenoma dnm 嗜酸细胞瘤oncocytoma;oxyphil cell tumor wnksatmksfl 美 ksfl n. 嗜酸细胞,嗜酸细菌; adj. 嗜酸的;,二、后肾肿瘤metanephric tumors metnfrk 后肾腺瘤Metanephric adenoma 后肾腺纤维瘤metanephric adenofibroma dnfabrm 后肾间质肿瘤metanephric interstitial tumor ntstl 三、肾母细胞肿瘤Wilms tumor 肾源性残件Nephrogenic remnants remnnts 肾母细胞瘤embryoma of kidney; nephroblastoma; Whilms tumor; Wilm tumor embrm nefrbl:stm 囊性、部分分化性肾母细胞瘤Cystic part, differentiation of Wilms tumor,四、间叶肿瘤Mesenchymal tumours mesekml 美 mesekml adj. 间叶细胞的,由间叶细胞组成 主要见于儿童: 透明细胞肉瘤clear cell sarcoma 横纹样瘤rhabdoid tumor rbdd 先天性中胚叶肾瘤congenital mesoblastic nephroma mesbl:stk 美 mesobl:stk 医 中胚层的; nfrm 美 nfrom n. 肾瘤; 肾病; 婴儿骨化性肾肿瘤ossifying renal tumor of infancy sfa 美 sfa adj. 骨化的; nfnsi 主要见于成人: 平滑肌肉瘤(包括肾静脉)leiomyosarcoma lamas:km 血管肉瘤angiosarcoma;hemangiosarcoma ndi:z:km 美 ndi:oz:kom n. 恶性血管皮内细胞瘤;hi:mnds:km 美 hi:mndos:kom n. 血管肉瘤; 横纹肌肉瘤rhabdomyosarcomarbdmas:km 恶性纤维组织细胞瘤malignant fibrous histiocytoma;mfhhstsatm 血管外皮细胞瘤Hemangiopericytoma hi:mndpersatm,骨肉瘤osteosarcoma sts:km 血管肌肉脂肪瘤 上皮样血管肌肉脂肪瘤Epithelioid angiomyolipoma nmalpm 平滑肌瘤leiomyoma lamam 脂肪瘤lipoma 血管瘤angioneoplasm;hemangioma;vascular tumor ndni:plzm hi:mndi:m 淋巴管瘤lymphangiomalmfndm 球旁细胞瘤juxtaglomerular cell tumor;reninoma dkstglmerl ri:nnm 肾髓质间质细胞瘤Renal medullary interstitial cell tumor ntstl 神经鞘瘤neurilemmoma;neurinoma n:ralemm njranm 孤立性纤维性肿瘤Solitary fibrous tumor,五、混合性间叶上皮肿瘤Mixed mesenchymal epithelial tumor mesekml 囊性肾瘤cystic nephroma nfrm 混合性上皮和间质肿瘤mixed epithelial and stromal tumor 滑膜肉瘤Synovial Sarcoma sanvil 六、神经内分泌肿瘤Neuroendocrine tumor nju:rendkran 类癌carcinoid k:snd 神经内分泌癌Neuroendocrine carcinoma 原始神经外胚叶瘤Neuroectodermal tumor njrktd:ml 神经母细胞瘤Neuroblastoma 嗜铬细胞瘤pheochromocytoma fi:krmsatm 七、造血和淋巴肿瘤Hematopoietic and lymphoid neoplasms hemtpi:tk lmfd 淋巴瘤lymphoma lmfm 白血病leukemia lu:ki:m 浆细胞瘤plasmacytoma plzmstm 八、生殖细胞肿瘤germ cell tumors 畸胎瘤dysembryoma teratoma dasmbri:m 绒癌chorioepitheliomakrepi:lm 九、转移性肿瘤metastatic neoplasm;metastatic tumor,尿路肿瘤组织学分类 一、尿路上皮肿瘤urothelial tumor ri:ll 1.浸润性尿路上皮癌infiltrating urothelial carcinoma nfltret 1.1伴鳞状分化With squamous differentiation skwems 1.2伴腺分化With glandular differentiation lndjl(r) 1.3伴滋养叶细胞分化With trophoblastic cell differentiation trfblstk 1.4巢状型Nested types nestd 1.5微囊型microsealed drug delivery system 1.6微乳头型Microemulsion type makremln 1.7淋巴上皮瘤样Lymphoepithelioma like li:mfpi:lm 1.8浆细胞样Plasmacytoid 1.9肉瘤样(伴或不伴异源性成分)Sarcomatoid (with or without heterologous components) s:kmtd hetrlgs kmpnnt 1.0巨细胞giant cell; idioblast ; dblst 1.1未分化 undifferentiation,2.非浸润性尿路上皮肿瘤Non invasive urothelial tumors nvesv ri:ll 2.1尿路上皮原位癌Urothelial carcinoma in situ ri:ll 2.2非浸润性乳头状尿路上皮癌,高级别(NIHGC )Non invasive papillary urothelial carcinoma, high level 2.3非浸润性乳头状尿路上皮癌,低级别(NILGC )Non invasive papillary urothelial carcinoma, low grade 2.4非浸润性乳头状尿路上皮肿瘤,Non invasive papillary urothelial tumors 2.5低度恶性潜能( PUNLMP)Low malignant potential mlgnnt 2.6尿路上皮乳头状瘤Urothelial papilloma 2.7内翻性尿路上皮乳头状瘤Inverted urothelial papilloma nv:td pplm,二、鳞状(细胞)肿瘤(squamous cell cancer) skwems 鳞状细胞癌squamous-celled carcinoma 疣状癌verrucous carcinoma verks 鳞状细胞乳头状瘤squamous cell papilloma 三、腺(上皮)肿瘤(gland epithelial tumor) 腺癌adenocarcinoma dnk:snm 肠型intestinal form;intestinal type ntestanl 黏液性myxoid;mucous mksd 印戒细胞signet-ring cell 透明细胞cellule clear;clear cell;hyalocyte;wasserhelle cell selju:l halsat wzrhel 美 wzrhel 明的; 绒毛状腺瘤Villous Adenoma vls dnm,四、神经内分泌肿瘤Neuroendocrine tumor; 小细胞癌 Small Cell Carcinoma 类癌carcinoid k:snd 副节瘤paraganglioma prgglm 五、黑色素细胞肿瘤Melanocytic neoplasms melnstk 恶性黑色素瘤malignant melanoma melnm 痣nevus ni:vs 六、间叶肿瘤Mesenchymal tumours mesekml 横纹肌肉瘤rhabdomyosarcoma rbdmas:km 平滑肌肉瘤leiomyosarcoma 血管肉瘤angiosarcoma 骨肉瘤osteosarcoma sts:km 恶性纤维组织细胞瘤malignant fibrous histiocytoma;mfh hstsatm 平滑肌瘤leiomyoma 血管瘤angioneoplasm;hemangioma;vascular tumor 其他 七、造血和淋巴肿瘤Hematopoietic and lymphoid neoplasms 淋巴瘤lymphoma 浆细胞瘤plasmacytoma 八、杂类肿瘤Miscellaneous tumor mslenis 腺发生的腺癌The occurrence of gland adenocarcinoma 转移性肿瘤和其他器官肿瘤蔓延累及Metastatic tumors and other organs involved in the spread of the tumor,一般肾病有以下几种: 一、原发性肾小球疾病(肾脏自己本身的病,不是其他病引起的,或找不到引起肾脏病的原因),常见的有: 1、急性肾小球肾炎agn=acute glomerulonephritis 2、慢性肾小球肾炎chronic glomerulonephritis 3、急进性肾小球肾炎rpgn=rapidly progressive glomerulonephritis 4、肾病综合症nephritic syndrome 5、IgA肾病IgA nephropathy 6、隐匿性肾小球肾炎。latent glomerulonephritis 二、继发性肾小球肾炎(继发于其他疾病的肾炎。或先患了某种疾病,由这个病引起的肾炎,或由这个病诱发的肾炎),常见的有: 1、系统性红斑狼疮性肾炎SLE=systemic lupus eythematosus;systemic lupus erythematosus 2、过敏性紫癜肾炎Henoch-Schonlein purpura, anaphylactoid purpura 3、糖尿病性肾病Diabetic nephropathy 4、乙型肝炎病毒相关性肾炎hbv-gn hepatitis B virus glomerulonephritis 5、肝肾综合症hepatorenal syndrome; 6、肺出血-肾炎综合症goodpastures syndrome 7、心力衰竭性肾损害Heart failure renal damage 8、类风湿性关节炎的肾损伤Renal damage in rheumatoid arthritis polyarthritis destruens;rheumatoid arthritis,三、遗传性肾脏病,常见的有:Inherited kidney diseases 1、遗传性慢性肾炎hereditary chronic nephritis 2、良性家族性血尿benign familial hematuria 四、泌尿系统感染性肾脏病,常见的有:Renal disease of urinary system infection 1、尿路感染UTI=urinary tract infection 2、慢性肾盂肾炎Chronic pyelonephritis 3、肾结核renal tuberculosis 4、性病尿路感染Venereal disease of urinary tract infection 五、肾小管疾病,常见的有:renal tubular disease 1、肾性糖尿renal glycosuria 2、肾性尿崩症nephrogenic diabetes insipidus 3、肾小管性酸中毒RTA=renal tubular acidosis 六、间质性肾炎,常见的有:interstitial nephritis 1、急性小管间质性肾炎acute interstitial nephritis 2、慢性小管间质性肾病Chronic tubular interstitial nephropathy;tubulointerstitial nephropathy,七、肾结石和梗阻性肾病,常见的有:Renal calculus and obstructive nephropathy 1、肾结石kidney calculi;kidney-stone;renal calculi 2、梗阻性疾病Obstructive disease 八、囊肿性肾脏病和肾脏肿瘤,常见的有:Cystic kidney disease and renal tumor 1、多囊肾Polycystic kidney 2、肾囊肿cyst of kidney;renal cyst 3、肾脏肿瘤renal tumor 九、肾血管疾病,常见的有:renal vascular diseases 1、肾动脉血栓及栓塞Renal artery thrombosis and embolism 2、肾静脉血栓 renal vein thrombus 十、肾脏与高血压,常见的有:Kidney and hypertension 1、肾血管性高血压renal vascular hypertension;renovascular hypertension 2、高血压性肾损害Hypertensive renal damage,十一、妊娠与肾脏疾病,常见的有:Pregnancy and kidney disease 1、妊娠期高血压性肾病Renal hypertensive pregnancy 2、妊娠期尿路感染Urinary tract infections in pregnancy 十二、老年肾脏病,常见的有:Elderly kidney disease 1、老年期肾功能不全Senile renal insufficiency 2、老年尿路感染Senile urinary tract infection 十三、药(食物)源性肾损害,常见的有:Drug induced renal injury (food) 1、药源性肾损害Drug-induced renal injury 3、食物性肾损伤The food of renal injury 十四、肾功能衰竭,常见的有:renal failure 1、急性肾功能衰竭acute kidney failure 2、慢性肾功能衰竭chronic kidney failure;chronic renal failure 十五、肾脏先天畸形Congenital malformation of kidney 1.马蹄肾horseshoe kidneys 2.异位肾ectopic kidney;renal ectopia,肾细胞癌病理分型 1.肾透明细胞癌clear cell carcinoma of kidney 2.多房囊性肾细胞癌multilocular cystic renal cell carcinoma 3.乳头状肾细胞癌Papillary renal cell carcinoma 3.1 1型乳头状肾细胞癌Type 1 papillary renal cell carcinoma 3.2 2型乳头状肾细胞癌Type 2 papillary renal cell carcinoma 4.肾嫌色细胞癌chromophobe renal cell carcinoma 5.Bellinni集合管癌Collecting duct carcinoma Bellinni 6.肾髓质癌renal medullary carcinoma 7.Xp11.2易位性癌Xp11.2 translocation carcinoma 8.神经母细胞瘤相关性肾细胞癌renal cell carcinoma associated with neuroblastoma 9.黏液性小管状及梭形肾细胞癌Mucinous tubular and spindle cell carcinoma of kidney 10.未分类的肾细胞癌The classification of renal cell carcinoma,温哥华肾肿瘤分类共识 新肿瘤类型 获得性囊性肾疾病相关 CC( acquired cystic disease associated CC) 透明细胞( 管状) 乳头状 CCclear cell ( tubulo) papillary CC 遗传性平滑肌瘤病相关 CC( hereditary leiomoyomatosis associated CC) 小眼转录因子家族易位性 CC( 包括 t( 6: 11) CC) ( MiT family translocation CC) 管状囊性 CC( tubulocystic CC) 刚出现的肿瘤类型 ALK 易位相关 CC( ALK-translocation-CC) 琥珀酸脱氢酶 B 缺陷相关的 CC( succinate dehydrogenase B deficiency associated CC) 甲状腺样滤泡性 CC( thyroid-like follicular CC) 新观点 低度恶性潜能多房囊性肾肿瘤( multilocular cystic renal cell neoplasm of low malignant potential) 杂合性嗜酸细胞/嫌色细胞肾肿瘤( hybrid oncocytic/chromophobe tumors) 上皮样血管平滑肌脂肪瘤低危/中危/高危( epitheloid angiomyolipoma) low/ intermediate /high risk 囊性肾瘤/混合性上皮间质肿瘤( cystic nephroma/mixed epithelial and stromal tumor of kidney),肾上腺皮质肿瘤的分类adrenal cortical tumor 良性 1.肾上腺皮质腺瘤adrenocortical adenoma 2.色素性腺瘤Pigmented adenoma 3.嗜酸细胞性肾上腺皮质腺瘤Oncocytic adrenocortical adenoma 恶性 1.肾上腺皮质腺癌adrenal cortical adenocarcinoma;adrenal cortical carcinoma 2.肾上腺皮质癌肉瘤Sarcoma of adrenal cortical carcinoma,原发性肾小球病分为五种临床类型: (1)急性肾小球肾炎agn=acute glomerulonephritis (2)急进性肾小球肾炎rpgn=rapidly progressive glomerulonephritis (3)慢性肾小球肾炎chronic glomerulonephritis (4)隐匿型肾小球肾炎无症状性血尿或(和)蛋白尿 latent glomerulonephritis Asymptomatic hematuria or proteinuria (and) (5)肾病综合征nephritic syndrome,第二节肾功能不全kidney insufficiency 急性肾衰竭ARF=acute renal failure 慢性肾衰竭chronic renal failure 第三节肾小管-间质性疾病tubular-interstial diseases 急、慢性肾盂肾炎acute /Chronic pyelonephritis 间质性肾炎interstitial nephritis 肾小管酸中毒(RTA)renal tubular acidosis 第四节肾血管疾病renal vascular diseases 第五节全身疾病引起的肾损害Renal damage caused by systemic disease 糖尿病肾病dn=diabetic nephropathy 系统性红斑狼疮性肾炎ln=lupus nephritisnephritis of systemic lupus erythematousus; systemic lupus erythematosus with nephritis ; 多动脉炎肾损害renal damage in polyarteritis 肺出血-肾炎综合征pulmonary hemorrhage -goodpasture syndrome Goodpasture syndrome 过敏性紫癜性肾炎anaphy lactoid purpura nephritis 乙肝病毒相关性肾炎HBV-associated Glomerulonephritis,第六节先天性异常、肿瘤、外伤 肾癌renal carcinoma cancer of kidney 肾盂癌carcinoma of renal pelvis;pyelo carcinoma;renal pelvic carcinoma 膀胱肿瘤tumor of bladder bladder neoplasms 泌尿系统损伤Urinary system injury 肾、尿路的主要先天性异常Kidney, urinary tract major congenital anomalies 第七节尿路结石lithangiuria;urinary calculi 上尿路结石upper urinary calculi 膀胱结石bladder calculi;vesical calculi 第八节泌尿系统感染urinary tract infection 上尿路感染upper urinary tract infection 下尿路感染lower urinary tract infection 男生殖系统感染Male reproductive system infection,泌尿系结石urolithiasis jrlass 肾结石renal calculus klkjls 输尿管结石ureteral calculus jritrl klkjls 膀胱结石bladder calculus bld(r) klkjls 尿道结石calculus of urethra klkjls jri:r,泌尿系统感染性病变 泌尿系统结核 1.肾结核renal tuberculosis tju:b:kjulss 2.输尿管结核ureteral tuberculosis 3.膀胱结核tuberculosis of urinary bladder jrneri:bld 泌尿系统非特异性炎症 1.肾脓肿renal abscess bses 2.肾盂肾炎pyelonephritis palnfrats 3.黄色肉芽肿性肾盂肾炎Xanthogranulomatous pyelonephritis XGP granulomatous grnjlmts,肾囊性疾病cystic kidney disease 1.肾单纯性囊肿Simple cyst 2.多囊肾Polycystic kidney plsstk 3.复杂性囊肿complex cyst kmpleks 4.囊性肾细胞癌Cystic renal cell carcinoma sstk 肾外伤renal injuries 1.肾被膜下血肿renal subcapsular hematoma sbkpsjl(r) hi:mtm 2.肾周血肿perirenal hematomaperari:nl 3.肾挫伤Contusion of kidney kntju:n 4.肾撕裂伤Renal Laceration lsren,1.肾脏数目异常The number of abnormal kidney 肾缺如renal agenesis ri:nl edi:nss 2.肾脏位置异常异位肾Abnorma

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