30例肾肿瘤患者的临床治疗体会

Renal Tumor: Clinical Experience with 30 Cases

目的探讨肾肿瘤患者手术治疗的临床意义。方法对30例肾肿瘤患者的临床资料进行回顾性分析。所有患者术前均经B超、CT或MRI及静脉肾盂造影检查,根据患者病情采取肾癌根治术、单纯肾切除及部分肾切除术,术后辅以生物免疫治疗。结果 30例患者术后病理证实为透明细胞癌25例,乳头状细胞癌1例,囊腺癌1例,未获得病理结果(术中探查高度怀疑为恶性肿瘤)1例,良性肾腺瘤2例。30例患者均获2～36个月的随访,其中3例Ⅳ期肾癌、1例Ⅲ期肾癌伴有双肾结石及左肾囊肿患者术后24个月死亡。26例患者均无瘤生存,无一例局部复发或转移。结论肾肿瘤的临床表现多样化,早期发现和治疗是提高肾肿瘤患者生存率的关键。

Objective To explore the clinical significance of the treatment of renal tumor. Methods Clinical data of 30 cases of kidney cancer were retrospectively analyzed. All patients underwent B ultrasound, CT or MRI and intravenous pyelogram before operation. According to the state of illness, patients were treated with radical nephrectomy, simple nephrectomy or partial nephrectomy in combination with postoperative immunotherapy. Results Among the 30 patients, clear cell carcinoma was pathologically confirmed in 25, papillary renal cell carcinoma in 1, cystadenocarcinoma in 1, and benign renal adenoma in 2. No pathological findings were obtained in 1 patient with suspected malignancy. All patients were followed up for 2-36 months. Three of the 30 patients had stage IV renal cell carcinoma, 1 had stage III renal cell carcinoma with dual kidney stones and left kidney cyst and died 24 months after operation. Twenty-six patients survived without tumors and no one had local recurrence or metastasis. Conclusion Renal tumors have diversified clinical manifestations. Early detection and treatment are the key to improving survival rates in patients with kidney tumors.