偶发性肾癌24例临床分析  

A Retrospective Study of 24 Cases of Incidental Renal Carcinoma

作　　者：张翼鹏[1] 张延[1] 

机构地区：[1]北京解放军305医院泌尿外科,100017

出　　处：《实用全科医学》2006年第5期505-506,共2页Applied Journal Of General Practice

摘　　要：目的探讨偶发性肾癌的临床特点，提高诊治水平。方法对24例肾癌患者进行回顾性分析。结果按TNM分期，Ⅰ期20例（84％），Ⅱ期2例（8％），Ⅲ期2例（8％）；肿瘤直径2．3～9．0cm，平均4．6cm；透明细胞癌21例（88％），颗粒细胞癌1例（4％），乳头状细胞癌1例（4％），混合细胞癌1例（4％）；随访19例（79％），3年、5年、10年生存率分别为84．6％（11／13）、75％（6／8）、66．6％（2／3）。3年和5年存活者中均为Ⅰ期。结论B超和CT是早期发现肾癌的重要检查手段。及早行根治性肾切除术是治疗的重要方法。TNM分期对判断预后有较高的指导意义。Objective To explore the characteristic of incidental renal carcinoma, in order to improve its diagnostic and treatment effect. Methods 24 cases of incidental renal cell carcinoma were studied retrospectively. Results The TNM staging in 24 eases of incidental renal carcinoma was： stage Ⅰ （20 eases, 84% ）, stage Ⅱ （2 eases, 8% ）, stage Ⅲ（2 eases, 8% ）. Diameter of Tumor were from 2.3 cm to 9 cm, the average is 4.6em. 21 eases （87.5%） were clear cell carcinoma, 1 ease （4%） was granular cell carcinoma, 1 case （4 % ） was papilliform cell carcinoma, 1 case was mixed carcinoma, 19 cases （79 % ） have been followed up, Three - year, five - year and ten - year survival rates were 84.6 % （ 11/13 ）, 75 % （ 6/8 ）, 66.6 % （ 2/3 ） respectively, Conclusions B type ultrasonography and computerized tomography are important means in the diagnosis of renal cell carcinoma. The important treatment is radical nephrectomy at early stage, TNM staging system gives directions for prognosis.

关 键 词：肾癌 偶发性肾癌 影像学检查 

分 类 号：R737.11[医药卫生—肿瘤]