摘要
报告１１例肾细胞癌伴下腔静脉癌栓患者，男９例，女２例；右侧８例，左侧３例。临床症状：血尿９例，腹部肿物２例，仅１例出现下肢水肿、腹壁浅静脉扩张。全部病人均经ＣＴ扫描或ＣＴ和ＭＲＩ检查明确诊断。１０例经上腹正中或胸腹联合切口取出癌栓连同患肾一并切除。５例术前无其它部位转移者术后平均存活５年２个月，１例术后２个月死亡，２例术前肾蒂淋巴结及肾周脂肪侵犯者中１例存活２年５个月死于非肿瘤疾病，１例目前已存活３年１个月尚在，２例失访。本组腔静脉癌栓发生率占同期肾癌病人的２．７％。本组ＣＴ与ＭＲＩ相结合应用诊断符合率为９８０％。
cases of renal cell carcinom with inferior vena cava tumor emboli were reported,9 of the patients being male and 2 female.The primary lesion was on the right side in 8 and on the left in 3.The presenting symptom was hematuria in 9 and an abdominal mass palpated in 2.Edema of the lower extremity and dilatation of the superficial vein of the abdominal wall were noted only in 1 patient.The exact diagnosis was made on CT scanning of CT+MRI in all.For 10 of the patients,nephrectomy and extraction of the emboli were carried out.The average survival of 5 patients without other distant metastasis has been 5 years and 2 months.1 of the 5 died 2 months after the operation.Of the 2 cases with tumor invasion into the perirenal fat and the hilum nodes,1 has already survived for 3 years and 1 month and the other died of disease other than the malignant tumor after 2 years and 5 months.The occurrence of inferior vena cava emboli was noted in 2.7% of our renal carcinoma patients,and the accurate diagnosis rate of CT combined with MRI has been 98%.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1997年第4期198-200,共3页
Chinese Journal of Urology
