偶发肾癌358例临床分析  

Clinical analysis of incidental renal cell carcinoma(358 cases)

作　　者：董潇[1] 刘贤奎[1] 孔垂泽[1] 刘海波[1] 刘国斌[1] 

机构地区：[1]中国医科大学附属第一医院泌尿外科,辽宁沈阳110001

出　　处：《中国现代医学杂志》2009年第11期1724-1726,1728,共4页China Journal of Modern Medicine

摘　　要：目的探讨偶发肾癌的临床特征、诊治方法及影响预后的因素。方法复习358例偶发肾癌患者的临床资料,并与同期收治的327例非偶发性肾癌进行回顾性对比分析。结果偶发肾癌与非偶发肾癌在发病年龄、患者性别、肿瘤位置和病理类型方面无明显差别;偶发肾癌与非偶发肾癌相比体积小,病理分期低,5年生存率高。结论B超和CT是发现偶发肾癌的主要方法;影响偶发肾癌的预后因素主要是病理分期。[Objectives] To explore the clinical characteristics, diagnosis, treatment and prognosis of incidental renal cell carcinoma （RCC）, to elevate the diagnosis and treatment standards of incidental RCC. [Methods] The clinical data of 358 cases of incidental RCC was reviewed, retrospectively analysis and compared with 327 cases of non-incidental RCC at the corresponding time period. [Results] The differences between incidental RCC and non- incidental RCC at the aspects of age, sex, position of tumor and pathological type are not significant. Compared to non-incidental RCC, the volume of incidental RCC is smaller, the pathological stage is lower and 5-year survival rate is higher. [Conclusions] Ultrasonography and CT are the main methods to detect incidental RCC. The main influencing factor of prognosis is pathological stage.

关 键 词：肾肿瘤 偶发 诊断 治疗 预后 

分 类 号：R737.11[医药卫生—肿瘤]