肾盂恶性肿瘤（附161例报告）

１９５２～１９９１年间共收治肾盂恶性肿瘤１７３例，占同期恶性肾肿瘤的３１．７％（１７３／５４６）。经手术治疗１６１例。男１１３例，女４８例。平均发病年龄５８岁。其中移行上皮癌１５１例（９３．８％）。肾盂癌的发病数逐年呈上升趋势，近４０年每１０年间年平均发病数分别为１．９，２．５，５．１及７．８例。１０７例（６６．５％）作了肾、输尿管全长及膀胱袖口式切除术。２５例（１６．０％）术后复发膀胱癌。术后３、５和１０年的生存率分别为７５．６１％（９３／１２３），６０、１９％（６５／１０８）和４５．３５％（３９／５６）。影响肾盂癌预后的主要因素是肿瘤的临床分期和病理学特征。

A review of 161 cases of carcinoma of renal pelvis

cases of malignant tumor of renal pelvis have been hospimlized from 1952 to 1991. It constituted 31. 7.0% (173/546) of all malignant renal tumors in the same period. 161 have been treated surgically, 113 male and 48 female with a mean age of 58 years. In 151 (93. 8%) the growth was transitional cell carcinoma. The incidence of carcinoma of renal pelvis seemed to increase year by year.For every 10-year during the last 40 years the mean admittance of each year has been 1. 9, 2. 5, 5. 1 and 7. 8 cases,respectively. Total nephroureterectorny with bladder cuff excision was employed as the surgical method in 107 out of 161 cases. Recurrence of tumor to the bladder wall was observed in 25 ( 16.0%). The 3, 5 and 10 year survial rate has been 75. 61%(93/123), 60. 19% (65/108) and 45.35 % ( 39/86) respectively. The prognosis in our series was significantly influenced by clinical stage and pathologic grade of the tumor.