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目的探讨肾偶发癌的诊治方法。方法对 3 2例肾偶发癌患者的临床资料进行回顾性分析。结果 B超诊断准确率达 90 .6%( 2 9/ 3 2 ) ,CT达 10 0 % ( 2 9例 ) ;3 1例行根治性肾切除 ,1例行肾部分切除。术后 3年、5年生存率分别为 96.5 %、89.7%。结论医学影像技术的进步及体检的开展 ,使肾偶发癌比例明显增加 ,早期诊治是偶发癌预后较好的主要原因。
Objective To investigate the diagnosis and treatment of incidental carcinoma of the kidney. Methods The clinical data of 32 patients with sporadic renal cell carcinoma were analyzed retrospectively. Results The diagnostic accuracy of B ultrasound was 90.6% (29/32) and CT was 100% (29 cases). The radical nephrectomy was performed in 31 cases and the partial nephrectomy in 1 case. After 3 years, the 5-year survival rates were 96.5% and 89.7% respectively. Conclusion The progress of medical imaging technology and the development of physical examination have significantly increased the proportion of sporadic renal neoplasms. Early diagnosis and treatment are the main reasons for the better prognosis of incidental cancers.