肾癌525例临床分析

目的　探讨肾细胞癌的诊治方法。　方法　对 1 978年 1月至 1 997年 1 2月收治的肾细胞癌 5 2 5例资料进行分析。　结果　诊断以B超、CT为主。行肾癌根治性切除术 40 2例(76 .6 % ) ;其他类型手术 6 4例 ,其中探查术肿瘤无法切除 1 0例。病理结果 :透明细胞癌 32 1例 (70 .4% ) ,颗粒细胞癌 43例 ,混合型癌 77例 (1 7.0 % ) ,其它 1 5例。 40 2例 (76 .6 % )获得随访。 3年、5年和 1 0年生存率分别为 76 .7% (2 0 7/ 2 70 )、6 1 .6 % (1 2 2 / 1 98)和 2 7.2 % (2 5 / 92 )。　结论　早期发现、早期根治性肾癌切除手术仍是提高肾细胞癌生存率的关键。

Renal cell carcinoma (report of 525 cases)

Objective To study the diagnosis and treatment of renal cell carcinoma. Methods 525 cases of renal cell carcinoma treated from Jan.1978 to Dec.1997 were reviewed. Results The diagnostic means were mainly ultrasonography and CT scanning. Radical nephrectomy was done for 402 (76.6%) and other procedures for 64.The pathological results showed that 321 cases(70.4%) were clear cell carcinoma,43 cases of granular cell carcinoma,77 cases (17.0%) being combination of the above two varieties,15 being renal cells of other types.402 cases have been successfully followed up.The 3 year,5 year and 10 year survival rates were 76.7% (207/270),61.6% (122/198) and 27.2% (25/92) respectively. Conclusions Early diagnosis and prompt radical nephrectomy were the critical points for achieving long term survivals of patients with renal cell carcinoma.