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肾细胞癌侵及下腔静脉、形成下腔静脉肿瘤栓塞的病例并不少见。据统计、在肾癌中其发生率为3～9.5%。这种病例一般予后不好,手术死亡率也高,但如能在治疗前了解下腔静脉内肿瘤栓塞的情况、对于确定治疗方案是有很大意义的。本文介绍了10例该病的诊断、治疗和予后。占同期肾癌109例的9.2%。一般资料:男性7例,女性3例,平均年龄为50岁(最大69岁、最小22岁)。右肾癌8例,左肾癌2例。症状:除血尿、肾区肿块等肾癌的一般症状外,该10例中9例有全身症状。发烧7例、全身怠倦5例、食欲不振4例、体重减轻4例、恶心呕吐1例。做
It is not uncommon for renal cell carcinoma to invade the inferior vena cava and form a tumor in the inferior vena cava. According to statistics, the incidence of kidney cancer is 3 to 9.5%. This kind of case is generally not good afterwards, and the operative mortality rate is also high, but if we can understand the situation of tumor embolism in the inferior vena cava before treatment, it is of great significance to determine the treatment plan. This article describes the diagnosis, treatment and prognosis of 10 cases of the disease. Accounted for 9.2% of 109 cases of kidney cancer in the same period. General information: 7 males and 3 females, with an average age of 50 (maximum 69 years, minimum 22 years). There were 8 cases of right kidney cancer and 2 cases of left kidney cancer. Symptoms: In addition to the general symptoms of kidney cancer, such as hematuria and renal masses, 9 of the 10 patients had systemic symptoms. There were 7 cases of fever, 5 cases of generalized lethargy, 4 cases of loss of appetite, 4 cases of weight loss, and 1 case of nausea and vomiting. do