无症状与有症状肾癌的临床分析

Clinical analysis of renal carcinoma

本文将1986～1991年收治的178例肾癌患者根据有无症状分为两组进行临床分析。结果表明:两组发病年龄相似,均以46～65岁为高峰。无症状组肿瘤大小与浸润程度明显低于有症状组;无症状组1、3、5年生存率分别为93.0%、76.5%、60.0%;有症状组分别为82.1%、63.8%、35.0%,有显著差异。认为:B超在临床上的广泛应用,使无症状肾癌检出率逐年升高,提出:早期发现肾癌,需扩大体检普查范围,探索诊断小肾癌的新技术。

178 Cases of renal cell carcinoma treated from 1986 to 1991 have been divided into two groups,according to the appearant of the clinical symptom. The results indicated that the peak ages of two groups are similar (46～65 years old). Asymptomatic tumors have a smaller volume and invasion. The 1,3,5 year survival rate of the asymptomatic tumor has been 93.0%, 76.5% and 60.0% respectively,symptomatic one has been 82.1%, 63.8% and 35.0%. The differentiation is significant. The routine B-Ultrasonography made the more asymptomatic renal cell carcinoma be found. Extensively checkup and B-Ultrasonis screening is necessary to detect the earlier carcinoma of kidney.