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作者报告了26例孤独肾癌病人(包括作者医院中的6例),其中男21例、女5例、平均年龄58岁(45～74);先天性孤独肾4例,肾切除后孤独肾22例。该22例中,肾切除原因包括肾癌10例、肾结核6例、肾结石4例、输尿管肿瘤1例。原因不明1例。10例复发性肾癌中,临床无症状而常规随访中CT扫描发现肾脏肿块4例,肉眼血尿4例,体查触及肿块2例。 26例中,肾部分切除16例,(其中原位部分切除13例,离体切除3例(在血液透析下进行);肿瘤剜出5例,其中原位手术4例,离体手术1例。17例原位手术中,肿瘤大小为0.8×0.8×0.3Cm～11×10.5×8.5cm,其中直径小于5cm者5例。切除之肿瘤全部送病检,分化程度为1～2级。手术时肾缺但时间
The authors reported 26 patients with unilateral renal cell carcinoma (including 6 in the author’s hospital), including 21 males and 5 females with a mean age of 58 years (45-74); 4 patients with congenital unilateral nephrectomy and autonomic kidneys after nephrectomy 22 cases. Among the 22 cases, nephrectomy was caused by 10 cases of renal cell carcinoma, 6 cases of renal tuberculosis, 4 cases of kidney stones, and 1 case of ureteral tumor. One case is unknown. In 10 cases of recurrent renal cancer, clinically asymptomatic and routine follow-up CT scans revealed 4 cases of renal masses, 4 cases of gross hematuria, and 2 cases of mass examination and touch. Of the 26 cases, 16 cases were partially resectioned (13 of them were in situ resection, 3 were performed ex vivo (under hemodialysis)), 5 cases were tumor resection, 4 cases were performed in situ, and 1 case was performed in vitro. In 17 cases of in-situ surgery, the tumor size was 0.8 × 0.8 × 0.3Cm ~ 11 × 10.5 × 8.5cm, of which 5 cases were less than 5cm in diameter, and all the resection tumors were sent to the pathological examination, and the degree of differentiation was 1 to 2. Kidney deficiency but time