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目的探讨肾脏恶性肿瘤的组织类型、临床分期与预后的关系。方法对1988年至1998年期间收治的51例肾脏恶性肿瘤进行临床病理分析。结果肾盂移行细胞癌多见于50岁以上病人,发现时多属Ⅰ或Ⅱ期,预后相对较好。肾母细胞瘤多见于10岁以下儿童,组织类型复杂,恶性程度高.发现时多为Ⅲ或Ⅳ期,预后差。肾集合管瘤和肾细胞癌发现时多属晚期,预后也差。结论统计结果表明组织类型与临床分期、术后3年内死亡有显著性差异。强调早期诊断、早期手术治疗是提高术后生存率的关键。
Objective To investigate the relationship between histological type, clinical stage and prognosis of renal malignant tumors. Methods The clinicopathological analysis of 51 cases of renal malignant tumors admitted from 1988 to 1998 was performed. Results The renal pelvis transitional cell carcinoma more common in patients over the age of 50, were found to belong to Ⅰ or Ⅱ stage, the prognosis is relatively good. Wilms tumor more common in children under 10 years of age, complex tissue types, high degree of malignancy. When found to be mostly Ⅲ or Ⅳ, the prognosis is poor. Renal tuberculoma and renal cell carcinoma are mostly late, the prognosis is poor. Conclusion The statistical results show that the type of tissue and clinical stage, after 3 years of death were significantly different. Emphasize the early diagnosis, early surgical treatment is to improve the survival rate of the key.