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本文分析了国际儿童肿瘤协会(艹鬼)集的512例儿童Willms瘤(Ⅰ、Ⅱ、Ⅲ期),并着重探讨淋巴结转移和预后间的关系。对其中300例的淋巴结作了显微镜检查,结果是45例有肿瘤转移(15％),255例为正常淋巴结(85％)。具有淋巴结转移患者的存活率和治疗率分别为47％和27％;而无转移者为79％和67％。所以上述二组患者在治愈率、存活率方面的差别具有统计学意义。作者认为淋巴结转移为Willms瘤预后不良的征兆。具有淋巴结转移患者的预后,要
This article analyzes 512 children with Willms tumors (I, II, III) collected by the International Children's Cancer Society, and focuses on the relationship between lymph node metastasis and prognosis. Microscopic examination of 300 cases of lymph nodes revealed 45 cases with metastases (15%) and 255 cases with normal lymph nodes (85%). The survival and treatment rates for patients with lymph node metastases were 47% and 27%, respectively; whereas those without metastases were 79% and 67%. Therefore, the difference in cure rate and survival rate between the above two groups of patients was statistically significant. The authors believe that lymph node metastasis is a sign of poor prognosis for Willms tumors. The prognosis of patients with lymph node metastases