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肾癌的诊断和治疗89例分析
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肾肿瘤,,肾肿瘤;,医学影像;,放射疗法;,化疗法;,生物治疗,0引言,1对象和方法,2结果,3讨论,【参考文献】
     Diagnosis and treatment of renal cell carcinoma: 89 cases of analysis

    LI Ming, ZHANG HongBin

    Department of Urology, Third Hospital of Chinese PLA, Baoji 721000, China

    【Abstract】 AIM: To evaluate the diagnosis and treatment of renal cell carcinoma. METHODS: Medical records of 89 patients (male 54, female 35, age ranging from 18 to 87 years) with renal cell carcinoma from 1990 to 2003 were reviewed retrospectively. The right side of the kidney was involved in 53 cases, left side in 35 and double in 1 case. Concomitant primary liver cancer was also observed in 1 case. The superior, lower, and middle pole of kidney was involved in 36, 32, and 21 cases respectively. All the patients underwent ultrasound B, intravenous pyelography and CT examinations. Treatment included operation, chemotherapy, radiotherapy and biotherapy. RESULTS: Sixtyone cases in stage Ⅰ, Ⅱ and Ⅲ underwent radical surgery. One case in stage Ⅲ underwent transvascular embolization. Twentyeight cases in stage Ⅳ were treated by biological therapy, chemotherapy or radiotherapy. A 2-66 months of followup showed that all the cases in stage Ⅰ survived, the average survival time of stage Ⅱ cases was 30 months, 16 months for stage Ⅲ cases and 3.5 months for stage Ⅳ cases. CONCLUSION: The survival time of patients with renal carcinoma can be prolonged through early diagnosis and treatment. The diagnosis of renal cell carcinoma can be made by medical imagology. Radical surgery is the most effective means for early renal cell carcinoma and that for late renal cell carcinoma is biological therapy. ......

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