青少年肾癌的临床及病理变化

CLINICAL AND PATHOLOGIC CHANGES OF RENAL CELL CARCINOMA IN YOUNG ADULTS

本文报告25例青少年肾细胞癌,占同期肾癌的23.6％,且近年来发病率有明显上升趋势。与成人肾癌相比较,其临床病理特点为:女性多于男性,左肾多于右肾,病理观察表明其组织结构复杂,病理性钙化明显。患者预后主要与肿瘤分期、肿瘤大小、核分级、有无钙化关系密切。

25 cases out of 106 patients with renal cell carcinoma surgically tre-ated from 1965 to October 1989 were under 35 years of age,the incide-nce was about 23.6% in all cases of renal cell carcinoma.Most of themwere girls and the left side was more commonly affected than the rig-ht. Compared with renal cell carcinoma in adults, an abdominal masswas their palpable clinical manifestation. Pathological observation showedthat their histologic construction were very complex and the pathologiccalcification was their another character. The clinical stage,the tumorsize,the tumor cell nuclear degree, the pathologic calification were themost important factors related to their prognosis.