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本文报告了我院1957~1984年共收治的肾脏恶性肿瘤216例其中肾细胞癌120例(55.6%),占肾脏肿瘤的第一位。有82例通过手术及活组织检查得到病理结果,透明细胞癌76例(占91.5%),颗粒细胞癌2例,未分化癌5例。在患者中31岁以上者占86.7%,而20岁以下者6例,其中年龄最小者为7岁(1例),值得注意。本组中75例做了肾切除术。术后随访,三年存活率为47.1%,五年存活率为32.9%,有23例存活五年以上。其中Ⅰ期17例,Ⅱ期6例。因此在今后应尽早诊断、治疗肾肿瘤,以提高长期存活率。
This article reports the hospital from 1957 to 1984, a total of 216 cases of renal malignant tumors, including renal cell carcinoma in 120 cases (55.6%), accounting for the first kidney tumors. There were 82 cases of pathological findings by surgery and biopsy, 76 cases of clear cell carcinoma (91.5%), 2 cases of granulosa cell carcinoma and 5 cases of undifferentiated carcinoma. Among the patients, those over 31 years old accounted for 86.7%, while those under 20 years old were 6 cases, of which the youngest was 7 years old (1 case), worth noting. In this group, 75 patients underwent nephrectomy. Postoperative follow-up, three-year survival rate was 47.1%, five-year survival rate was 32.9%, 23 patients survived for more than five years. Among them, 17 cases were stage Ⅰ and 6 cases were stage Ⅱ. Therefore, in the future as soon as possible diagnosis, treatment of renal tumors, in order to improve long-term survival.