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[目的]探讨成人肾母细胞瘤的诊断与治疗。[方法]回顾性分析5例成人肾母细胞瘤的临床表现,分期,治疗及预后。[结果]5例患者按照美国国家肾母细胞瘤研究所(National Wilms Tumor Studay NWTS)分期:Ⅰ期1例,Ⅱ期2例,Ⅲ期0例,Ⅳ期2例。5例患者均接受肾癌根治切除手术并3例术后辅予放化疗,其中4例患者获得随访,时间2~6年,3例生存。[结论]成人肾母细胞瘤是一种极为罕见的恶性肿瘤,早期诊断,手术治疗并辅以放化疗能够提高治愈率改善预后。
[Objective] To investigate the diagnosis and treatment of adult Wilms tumor. [Methods] The clinical manifestations, staging, treatment and prognosis of 5 cases of adult Wilm’s tumor were retrospectively analyzed. [Results] According to the National Wilms Tumor Studay NWTS stage, 5 patients were classified as stage Ⅰ, stage Ⅱ, stage Ⅱ, stage Ⅲ, stage Ⅱ, stage Ⅱ, stage Ⅱ, stage Ⅱ, stage Ⅱ, stage Ⅱ, stage Ⅱ, stage Ⅱ Five patients underwent radical resection of renal cell carcinoma and three patients received adjuvant radiotherapy and chemotherapy. Four of them were followed up for 2 to 6 years and 3 survived. [Conclusion] Adult Wilms’ tumor is an extremely rare malignant tumor. Early diagnosis, surgery and adjuvant radiotherapy and chemotherapy can improve the cure rate and improve the prognosis.