肾癌伴下腔静脉癌栓的诊断和治疗

The management of renal cell carcinoma with vena cava involvement

目的 :提高肾癌伴下腔静脉癌栓的诊治效果。方法 :总结 2例肾细胞癌伴下腔静脉癌栓的诊治情况 ,并复习有关文献。结果 :2例均完整取出癌栓 ,术后接受TNFα和IL 2治疗。 1例术后 11个月死亡 ,1例已存活 2 6个月目前尚在。结论 :CT、MRI和彩色多普勒超声检查是目前诊断肾癌伴下腔静脉癌栓的较好方法 ;对无淋巴结和远处转移者 ,手术应采取积极的态度 。

Objective:To study the diagnosis and treatment of renal cell carcinoma(RCC) with vena cava involvement.Methods:Two cases of RCC with venous involvement were presented with review of the literature.Results:Surgical intervention was carried out in 2 and the tumor thrombus was successfully removed intact.The patients were treated by TNFα and IL 2 postoperatively.One of the 2 cases died 11 months after the operation and the other has already survived for 26 months.Conclusions:Venous involvement in RCC can often be detected by CT,MRI and Doppler ultrasonography.Aggressive surgical strategy is recommended for RCC with venous involvement.