小肾细胞癌保留肾单元的手术治疗

Yongsheng Li, Shaoxing Zhu, Weizhong Cai, Shiping Chen, Qiyong Li
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引用次数: 0

摘要

目的探讨保留肾单元的手术治疗小肾细胞癌的方法和效果。方法对我院1997年8月至2008年10月经手术及病理证实的48例小肾细胞癌进行回顾性分析。48例患者中,双侧肿瘤1例,单侧肾脏肿瘤8例,单侧肿瘤伴对侧肾脏损害1例,单侧肿瘤伴对侧肾脏正常38例;9例行肿瘤去核术,其余行部分肾切除术。结果平均随访60个月,无肿瘤局部复发和/或转移。结论保留肾单元的手术治疗小肾细胞癌是一种有效的治疗方法。
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Nephron-sparing surgery for small renal cell carcinoma

Objective

To investigate the method and effect of nephron-sparing surgery in the treatment of small renal cell carcinoma.

Methods

From August 1997 to October 2008, 48 cases of small renal cell carcinomas were confirmed by surgery and pathology, and reviewed retrospectively. Of the 48 cases, there was 1 patient with bilateral tumors, 8 with solitary kidney tumors, 1 with unilateral tumor and a damaged contralateral kidney, and 38 with unilateral tumors and a normal contralateral kidney; 9 underwent tumor enucleation and the remaining patients received partial nephrectomy.

Results

There were no local tumor recurrences and/or tumor metastasis at a mean follow-up of 60 months.

Conclusion

Confirming conclusions from other centers, we have found that nephron-sparing surgery is an effective treatment for small renal cell carcinomas.

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