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肾母细胞瘤在小儿肿瘤中其发病率较高,仅次于淋巴瘤。1899年德国人Max Wilm’s 首例报告,故名称延用至今。因本病易同临床腹膜后肿块混淆,延误诊治,故将我科自1956～1986年收治12例,分析报告如下。临床资料本组男7例,女5例。1～3岁4例,4～10岁6例,11～20岁2例。肿瘤位于左侧5例,右侧6例,双侧1例。临床表现血尿4例,发热4例,消瘦及贫血各3例,腹部不同程度疼痛2例。检查所见:12例腹部均可触及肿块,IVP 示肾盏变形或推挤受压4例,IVP 不显影4例。腹部平片有钙化灶影1例,X 线有改变总例数8例。
Nephroblastoma has a high incidence of pediatric tumors, second only to lymphomas. In 1899 the German Max Wilm’s first report, so the name is still used. Because this disease is easily confused with the clinical retroperitoneal mass and delays diagnosis and treatment, 12 cases were treated in our department from 1956 to 1986. The analysis report is as follows. The clinical data of this group were 7 males and 5 females. 1 to 3 years old 4 cases, 4 to 10 years old 6 cases, 11 to 20 years old 2 cases. The tumors were located in 5 cases on the left side, 6 cases on the right side, and 1 case on both sides. The clinical manifestations were hematuria in 4 cases, fever in 4 cases, weight loss and anemia in 3 cases, and abdominal pain in 2 cases. Examination findings: 12 cases of abdominal mass can be touched, IVP showed pelvis deformation or push compression in 4 cases, IVP did not develop in 4 cases. The abdominal plain film had 1 case of calcified lesions, and the X-ray had 8 cases of changes in the total number of cases.