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本文系1960年至1969年间经病理证实的肾癌186例疗效分析。各种治疗方法中以肾切除术为好。根据肿瘤病变的范围可以分为四期;第一期为肿瘤局限于肾脏内;第二期为肿瘤仅侵入肾周围脂肪内;第三期指已有淋巴或肾静脉转移的病例;第四期有远处转移或直接蔓延至邻近脏器。116例作肾切除术的病例,其预后与病变分期有明显关系。第一期的疗效最好,五年生存率和十年生存率分别为55%及35%。第二、三期,五年生存率均在21%左右,十年生存率约为11%。一般认为肾静脉转移者比淋巴转移的预后更坏,但从本组病例
This article is an analysis of 186 cases of renal cell carcinoma confirmed by pathology from 1960 to 1969. Nephrectomy is preferable for various treatments. According to the scope of tumor lesions can be divided into four phases; the first phase of the tumor is limited to the kidney; the second phase of the tumor is only invaded into the peripheral fat; the third phase refers to the case of lymph node or renal vein metastasis; There is distant metastasis or direct spread to neighboring organs. In 116 cases of nephrectomy, the prognosis was significantly related to the stage of the disease. The first phase has the best efficacy. The five-year survival rate and the 10-year survival rate are 55% and 35% respectively. In the second and third phases, the five-year survival rate was about 21%, and the 10-year survival rate was about 11%. It is generally believed that the prognosis of renal vein metastases is worse than lymph node metastasis, but from this group of patients