2009
鏈�鏂拌偩鐧岃瘖娌绘寚鍗?/p>
鐩?/p>
褰?/p>
涓�銆?/p>
娴佽鐥呭鍙婄梾鍥犲
浜屻�?/p>
鐥呯悊
涓夈�?/p>
涓村簥琛ㄧ幇
鍥涖�?/p>
璇婃柇
浜斻�?/p>
娌荤枟
鍏�?/p>
鎵嬫湳骞跺彂鐥?/p>
涓冦�?/p>
棰勫悗褰卞搷鍥犵礌
鍏�?/p>
閬椾紶鎬ц偩鐧岃瘖鏂拰娌荤枟
涔濄�?/p>
闅忚瘖
[
鍚嶈瘝瑙ｉ噴
]
鏃犵棁鐘惰偩鐧岋紙
incidental renal cell carcinomas
锛夛細
鏃犱复搴婄棁鐘舵垨浣撳緛锛岀敱
B
瓒呮垨
CT
妫�
鏌ュ彂鐜扮殑鑲剧檶锛屾棦寰�绉颁负鈥滆偩鍋跺彂鐧屸�濄�?/p>
鍓槫缁煎悎寰侊紙
paraneoplastic syndromes
锛夛細
鍙戠敓浜庤偪鐦ゅ師鍙戠梾鐏跺拰杞Щ鐥呯伓浠ュ鐢辫偪鐦?/p>
寮曡捣鐨勭棁鍊欑兢锛屾棦寰�绉颁负鈥滆偩鐧岀殑鑲惧琛ㄧ幇鈥濄�?/p>
灞�闄愭�ц偩鐧岋紙
localized renal cell carcinoma
锛夛細
2002
骞寸増
AJCC
鐨?/p>
TNM
鍒嗘湡涓殑
T
1
-T
2
N
0
M
0
鏈熻偩鐧岋紝涓村簥鍒嗘湡涓衡厾銆佲叀鏈燂紝涔犳儻涓婄О涓衡�滄棭鏈熻偩鐧屸�濄�?/p>
灞�閮ㄨ繘灞曟�ц偩鐧?/p>
锛?/p>
locally advanced renal cell carcinoma
锛?/p>
锛?/p>
浼存湁鍖哄煙娣嬪反缁撹浆绉绘垨
锛堝拰锛?/p>
鑲鹃潤鑴夌槫鏍撴垨锛堝拰锛変笅鑵旈潤鑴夌槫鏍撴垨锛堝拰锛夎偩涓婅吅杞Щ鎴栬偪鐦や镜鍙婅偩鍛ㄨ剛鑲粍缁囨垨锛堝拰锛夎偩
绐﹁剛鑲粍缁囷紙浣嗘湭瓒呰繃鑲惧懆绛嬭啘锛夛紝鏃犺繙澶勮浆绉荤殑鑲剧檶锛?/p>
2002
骞寸増
AJCC
涓村簥鍒嗘湡涓衡參鏈燂紝
鏃㈠線绉颁负鈥滃眬閮ㄦ櫄鏈熻偩鐧屸�濄�?/p>
杞Щ鎬ц偩鐧岋紙
metastatic renal cell carcinoma
锛夛細
2002
骞寸増
AJCC
涓村簥鍒嗘湡鈪ｆ湡鑲剧檶锛?/p>
鍖呮嫭
T
4
N
0
M
0
鏈熻偩鐧屻�?/p>
淇濈暀鑲惧崟浣嶆墜鏈紙
nephron-sparing surgery
锛?/p>
NSS
锛夛細
淇濈暀鑲捐剰鐨勬墜鏈�荤О锛屽寘鎷偩閮ㄥ垎
鍒囬櫎鏈�佽偩鑴忔褰㈠垏闄ゆ湳銆佽偩鑲跨槫鍓滈櫎鏈瓑銆?/p>
寰垱娌荤枟锛?/p>
minimally invasive treatment
锛夛細
鏂囩尞涓寰垱娌荤枟鎵嬫娌℃湁涓ユ牸鐨勭晫瀹氾紝
鏈寚鍗椾腑灏嗗皠棰戞秷铻嶃�?/p>
楂樺己搴﹁仛鐒﹁秴澹般�?/p>
鍐峰喕娑堣瀺褰掍负寰垱娌荤枟鑼冪暣銆?/p>
鑰岃吂鑵旈暅涓嬫牴娌绘�ц偩
鍒囬櫎鏈垨
NSS
锛岀敱浜庡垏闄ょ粍缁囧強鑼冨洿鍚屽紑鏀炬�ф墜鏈紝鏈寚鍗椾腑娌℃湁灏嗗叾鍒掍负寰垱娌荤枟鑼冪暣銆?/p>
鑲剧粏鑳炵檶锛?/p>
renal cell carcinoma, RCC
锛夋槸璧锋簮浜庤偩瀹炶川娉屽翱灏忕涓婄毊绯荤粺鐨勬伓鎬ц偪
鐦わ紝鍙堢О鑲捐吅鐧岋紝绠�绉颁负鑲剧檶锛屽崰鑲捐剰鎭舵�ц偪鐦ょ殑
80%~90%
銆傚寘鎷捣婧愪簬娉屽翱灏忕涓嶅悓閮ㄤ綅
鐨勫悇绉嶈偩缁嗚優鐧屼簹鍨嬶紝浣嗕笉鍖呮嫭鏉ユ簮浜庤偩闂磋川浠ュ強鑲剧泜涓婄毊绯荤粺鐨勫悇绉嶈偪鐦ゃ�?/p>
涓�銆佹祦琛岀梾瀛﹀強鐥呭洜瀛?/p>
鑲剧檶绾﹀崰鎴愪汉鎭舵�ц偪鐦ょ殑
2%~3%
锛屽悇鍥芥垨鍚勫湴鍖虹殑鍙戠梾鐜囦笉鍚岋紝鍙戣揪鍥藉鍙戠梾鐜囬珮浜庡彂
灞曚腑鍥藉
[1]
銆傛垜鍥藉悇鍦板尯鑲剧檶鐨勫彂鐥呯巼鍙婃浜＄巼宸紓涔熻緝澶э紝
鎹叏鍥借偪鐦ら槻娌荤爺绌跺姙鍏鍜?