摘要
目的:探讨儿童肾癌特点、诊治方法及预后。方法:总结1975～1995年6月收治的3～15岁儿童肾癌8例,进行分析讨论。结果:8例中男性5例,女性3例;平均年龄10.3岁;左侧5例,右侧3例;Ⅰ期4例,Ⅱ期3例,Ⅲ期1例;死亡2例,生存6例,已生存5个月～16年4个月。结论:检查方法宜以 B 超与 IVU 结合进行,必要时在 B 超检查之后可作 CT 检查;儿童肾癌应与肾母细胞瘤鉴别;根治性肾切除术后配合静脉联合化疗有助提高疗效;影响预后最主要因素是肿瘤侵润范围和临床分期。
Objective:To Study the characteristics,diagnosis,treatment and prognosis of re- nal carcinoma in childhood.Methods:Eight children with renal carcinoma(male 5,female 3, aged 3—15 years,mean.10.3 yrs)were admitted from Jan.1975 to June 1995.The tumors were on the left side in 5 cases,right side in 3.They belonged to stage Ⅰ in 4,stage Ⅱ in 3 and stage Ⅲ in 1.Results:Six of them are living well(followed-up from 5 mons to 16 years and 4 mons) and two died.Conclusions:Renal carcinoma in childhood should be differentiated from Wilms' tu- mor.B-mode ultrasound with IVU is the first choice for diagnosis and CT is the next.Combined chemotherapy after radical nephrectomy is important to increase the efficacy.The extensiveness of tumor invasion and clinical staging may predict the prognosis.
出处
《中华小儿外科杂志》
CSCD
1997年第1期8-9,共2页
Chinese Journal of Pediatric Surgery
关键词
肾肿瘤
透明细胞
腺癌
治疗
预后
儿童
Kidney neoplasms
Carcinoma,clear cell
Adenocarcinoma
