摘要
目的 总结 2 0年收治肾癌中的偶发癌 38例的诊治经验 ,探讨选择恰当的处理方法。方法 自 1980年 1月至 2 0 0 0年 1月间手术治疗肾癌 15 6例 ,其中符合偶发癌标准者 38例。按 Robson分期 : 期 2 3例 , 期 10例 , 期 5例 ,肿瘤平均直径 4.83cm。结果 37例行肾癌根治术 ,1例单纯性肾切除术 ,术后 2年生存率 92 % ,5年生存率 87%。结论 B超和 CT联合应用 ,早期及时诊断 ,是提高疗效的主要原因。
Objective To summarize fwenty year′s experience in the diagnosis and treatment of incidental renal cell carcinoma and make an approach to the choice of appropriate medical management.Methods From 1980 to 2000,38 out of 156 cases of renal cell carcinoma were incidental.According to the Robson criteria,there were Ⅰ stage 23 cases,Ⅱ stage 10 cases,and 5 stage Ⅲ cases.The average diameter of neoplasms was 4.83cm.Results 37 cases were treated by radical nepbrectomy;1 case was treated by nephrectomy.The 2 and 5 year survival rates were 92% and 87% respectively.Conclusion Earlier diagnosis of the incidental renal cell carcinoma is the primary cause of better prognosis.
出处
《四川医学》
CAS
2001年第3期245-246,共2页
Sichuan Medical Journal
