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1982～1987年86例肾细胞癌,男48,女38。年龄28～83岁(平均63.9±10.9)。右肾44例,左肾41例,双侧1例。临床表现为血沉快,体重减轻、食少和低热(32例),肉眼或镜下血尿(29例)、腰腹痛(18例)、转移表现(16例)腹部肿块(3例)和精索静脉曲张(1例)。结果 78例手术治疗,其中11例癌栓侵入腔静脉;4例侵入肾静脉。8例因广泛转移未手术者,3例侵入下腔静脉(简称IVC)。在全部86例中18例癌栓侵入静脉,其中14例侵入IVC,4例侵入肾静脉,肾癌位于右肾8例,左肾9例,双侧1例。
From 1982 to 1987, 86 cases of renal cell carcinoma were male 48 and female 38. Age 28 to 83 years (mean 63.9±10.9). There were 44 cases of right kidney, 41 cases of left kidney and 1 case of bilateral. Clinical manifestations include rapid erythrocyte sedimentation, weight loss, eating less and low fever (32 cases), gross or microscopic hematuria (29 cases), lumbar and abdominal pain (18 cases), metastatic performance (16 cases) abdominal mass (3 cases) and spermatic cord Varicose veins (1 case). Results 78 cases were treated with surgery. Among them, 11 cases of tumor embolus invaded the vena cava; 4 cases invaded the renal vein. Eight patients had no surgery because of extensive metastases, and three patients invaded the inferior vena cava (abbreviated as IVC). In all 86 cases, 18 cases of tumor emboli invaded into the vein, of which 14 cases invaded the IVC, 4 cases invaded the renal vein, kidney cancer in the right kidney in 8 cases, left kidney in 9 cases, bilateral in 1 case.