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目的:探讨儿童肾癌特点、诊治方法及预后。方法:总结1975～1995年6月收治的3～15岁儿童肾癌8例,进行分析讨论。结果:8例中男性5例,女性3例;平均年龄10.3岁;左侧5例,右侧3例;Ⅰ期4例,Ⅱ期3例,Ⅲ期1例;死亡2例,生存6例,已生存5个月～16年4个月。结论:检查方法宜以 B 超与 IVU 结合进行,必要时在 B 超检查之后可作 CT 检查;儿童肾癌应与肾母细胞瘤鉴别;根治性肾切除术后配合静脉联合化疗有助提高疗效;影响预后最主要因素是肿瘤侵润范围和临床分期。
Objective: To investigate the characteristics of children with renal cell carcinoma, diagnosis and treatment methods and prognosis. Methods: To summarize 8 cases of renal cancer of 3 ~ 15 years old children admitted from June 1975 to June 1995, to analyze and discuss. Results: There were 5 males and 3 females in 8 cases. The mean age was 10.3 years old. There were 5 cases on the left and 3 cases on the right. There were 4 cases in stage Ⅰ, 3 cases in stage Ⅱ, 1 case in stage Ⅲ, 2 died and 6 survived , Has lived 5 months to 16 years and 4 months. Conclusion: The examination should be combined with B-ultrasonography and IVU, if necessary, after CT examination can be made for CT; children with renal cell carcinoma should be identified with nephroblastoma; radical nephrectomy combined with intravenous chemotherapy can help improve the efficacy ; The most important factor affecting prognosis is the extent of tumor invasion and clinical stage.