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本院自1973年以来,经手术治疗的肾肿瘤61例(不包括肾胚胎瘤)。男40例,女11例。就肿瘤分类:肾实质癌28例,肾盂癌19例,肾错构瘤3例,肾平滑肌肉瘤1例。本组61例中有血尿者35例(占68.6％)。有肿块者22例(占43.1％),有腰痛者19例(占37.2％)。而国内文献报道血尿占70～80％,肿块占20～30％,疼痛占50％。肾肿瘤大部分为恶性,通常以血尿、肿块、腰痛这三大症状做为典型症状,实际上完全具备这三大症状本组只有9例。这些症状出现往往表示肿瘤晚期。有不少病例以发热、绞痛、浮肿、蛋白尿以及轻微外伤后尿血等就医而被发现肿瘤。为提高对肾肿瘤的早期诊断,本组将一些症状较隐蔽非典型曾在早期误诊的肾肿瘤,
In the hospital since 1973, there have been 61 cases of renal tumors that have undergone surgery (excluding renal embryonic tumors). 40 males and 11 females. Classification of tumors: 28 cases of renal parenchymal cancer, 19 cases of renal pelvis, 3 cases of renal hamartoma, and 1 case of renal leiomyosarcoma. In this group of 61 patients with hematuria in 35 cases (68.6%). Twenty-nine patients (43.1%) had lumps and 19 patients (37.2%) had low back pain. The domestic literature reported that hematuria accounted for 70 to 80%, tumors accounted for 20 to 30%, and pain accounted for 50%. Most of the kidney tumors are malignant. They usually have hematuria, lumps, and low back pain as the typical symptoms. In fact, there are only 9 cases of these three symptoms. The appearance of these symptoms often indicates the late stage of the tumor. Many cases have been found with fever, cramps, edema, proteinuria, and minor traumatic hematuria. In order to improve the early diagnosis of renal tumors, this group will have some symptoms that are more often than not hidden.