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报告27例13～30岁的青少年肾实质肿瘤,占130例12岁以上肾实质肿瘤的20.76%.女多于男。病理分类以肾细胞瘤为最多,肾血管平滑肌脂肪瘤次之。近5年发现病例多于过去24年,说明二者在青少年阶段并非罕见,且发病有增加趋势.临床表现仍以血尿、包块、疼痛为主,但包块的发生率高于成人,值得注意。而预后,特别肾细胞癌与肿块大小、部位无明显关系,但与肿瘤分期及病程长短有关。除提高对此病的认识外,常规静脉尿路造影及 B 超、CT、肾血管造影的使用,将大大增加及时诊治的可能。
Report of 27 cases of 13 to 30-year-old adrenal tumors in children, accounting for 130 cases of 12-year-old above 20% of renal parenchymal tumors. Female more than men. Pathological classification of renal cell tumor is the most, followed by renal vascular smooth muscle lipoma. In the past five years, more cases were found than in the past 24 years, indicating that they are not uncommon in adolescence and have an increasing incidence. Clinical manifestations are still mainly hematuria, mass and pain, but the incidence of mass is higher than that of adults note. The prognosis, especially with renal cell carcinoma size and location, no significant relationship, but with the tumor stage and duration of the disease. In addition to improving the understanding of the disease, the conventional intravenous urography and B-ultrasound, CT, renal angiography, will greatly increase the possibility of timely diagnosis and treatment.