肾癌的肾外表现分析

Extrarenal manifestations of renal cell carcinoma

目的 :探讨肾癌的肾外表现在肾癌早期诊断及预后评估中的临床意义。方法 :对 1988～ 2 0 0 1年经手术和病理检查证实为肾癌的 372例临床资料进行回顾性分析。结果 :发现 2 5 3例 (6 8.0 % )有各种肾外表现 ,主要表现为血沉快 ,血压高 ,食欲不振 ,消瘦 ,乏力 ,贫血 ,发热 ,肝功能紊乱 ,高钙血症及红细胞增多症 ,其中 82例(32 .4 % )是以肾外表现为首发症状。结论 :肾外表现有助于肾癌的早期诊断。肾癌的治疗以手术切除为主 。

Purpose:To investigate clinical significance of extrarenal manifestations of renal cell carcinoma in earlier diagnosis and prognosis estimation of renal cell carcinoma. Methods:From 1988 to 2001,clinical date of 372 cases of renal cell carcinoma confirmed by operation and pathology were reviewed retrospectively. Results:Of 372 cases,253 had various kinds of extrarenal manifestations. Swift erythrocyte sedimentation, hypertension, anorexia、emaciation、inertia, anemia, fever, hepatic dysfunction, hypercalcemia and erythrocytosis were main manifestations. Extrarenal manifestations were first symptom of occurrence in 82 cases. Conclusions:Extrarenal manifestations are aid to earlier diagnosis of renal cell carcinoma. Operative resection is primary method in the treatment of renal cell carcinoma. Extrarenal manifestations of renal cell carcinoma can't become contraindication of operation.