肾细胞癌120例临床分析

本文报告了我院1957～1984年共收治的肾脏恶性肿瘤216例其中肾细胞癌120例(55.6%),占肾脏肿瘤的第一位。有82例通过手术及活组织检查得到病理结果,透明细胞癌76例(占91.5%),颗粒细胞癌2例,未分化癌5例。在患者中31岁以上者占86.7%,而20岁以下者6例,其中年龄最小者为7岁(1例),值得注意。本组中75例做了肾切除术。术后随访,三年存活率为47.1%,五年存活率为32.9%,有23例存活五年以上。其中Ⅰ期17例,Ⅱ期6例。因此在今后应尽早诊断、治疗肾肿瘤,以提高长期存活率。

ACLINICL ANALYSIS OF RENAL CELL CARCINOMA——REPORT OF 120 CASES

This paper presents 216 cases of ma- lignant renal tumor treated in this hospital during 1957～1984.The patients of over 31 years of age accounted for 86.8% and 6 patients were more than 20 years of age, the youngest being 7 years old.It is of great singnificance.of these 216 patients, 120 were renal cell carcinoma(55.6%), (the most common tumor in kidneys) of which 80 had pathological examination after operation.In this series,75 cases of clear cell carcinoma(91.5%),2 cases of granulose cell carcinoms and 5 cases of undiffirentiated renal cell carcinoms were found.In this series.75 cases had ne- phrotectomy.Follow-up studies that the three-yeat survival rate was 47.1% and the five-year survival rate was 32.9% The survival rate for 23 cases was more than 5 years,of which 17 cases were proved to be stage 1 and 6 stage 11,sug- gesting that in order to improve the survi- val rate,to early diagnosis and proper treatment must be paid special attentioe.