青年肾癌的临床特点及预后分析  

Renal cell carcinoma in young patients:clinical characteristics and prognostic

作　　者：崔岩[1] 陈辉[1] 丁德鑫[1] 赵丕显[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院泌尿外科,黑龙江哈尔滨150040

出　　处：《现代肿瘤医学》2010年第8期1586-1587,共2页Journal of Modern Oncology

摘　　要：目的:探讨青年肾癌的临床特点及预后。方法:回顾性分析62例我院1993至2004年收治的年龄小于40岁可手术的肾癌患者临床及病理资料,并且随机抽取70例同时期中老年患者为对照组。对两组肿瘤的分期、分级和预后进行比较。结果:青年组患者的病理分期高于中老年组(P<0.05);肿瘤病理分级和组织类型无显著性差异(P>0.05);术后3、5年生存率为70%,58%,低于中老年肾癌组(P<0.05)。结论:青年肾癌症状隐匿,早期发现困难,确诊时临床分期较晚,恶性程度较高,预后相对不良。提高对青年肾癌认识,早发现、早期诊治尤为重要。Objective： To investigate the clinical features and prognosis of renal cell carcinoma（RCC） in young adults. Methods： Data of 62 young adults with RCC with age under 40 years from 1993 to 2004 were analyzed retrospectively,and 70 patients older than 40 were as controsl. Results： The stage of the young group was significantly higher than that of the old group（P0.05）.There was no difference between the tow groups of pathological phases and tissue types.3- and 5- year survial rates were 70% and 58%,respectively.The survial rates of young group were lower than the old group. Conclusion： In young population,RCC is difficult to diagnose because of occult symptoms at early stage,characterized by higher malignancy,and with poor prognosis.

关 键 词：肾肿瘤 青年 预后 

分 类 号：R737.11[医药卫生—肿瘤]