Ueda T, Yasumasu T, Uozumi J, Naito S
Department of Urology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Br J Urol. 1991 Nov;68(5):470-2. doi: 10.1111/j.1464-410x.1991.tb15387.x.
In a study of the clinical and pathological characteristics of incidentally detected and suspected renal carcinoma, we reviewed the manner of presentation, serum immunosuppressive acidic protein (IAP), tumour stage and size in 112 consecutive patients with renal carcinoma who were diagnosed clinically and surgically between 1980 and 1989. The results showed an increase in the proportion of incidentally diagnosed cases. The routine use of radiological imaging, especially ultrasound and computed tomography (CT), has led to tumours being diagnosed earlier than when IAP is used as a tumour marker in patients with incidentally detected renal carcinoma. Tumours were lower stage and smaller in patients with incidentally detected renal carcinoma than in patients in whom the diagnosis was suspected.
在一项关于偶然发现及疑似肾癌的临床和病理特征的研究中，我们回顾了1980年至1989年间经临床诊断并接受手术的112例连续性肾癌患者的临床表现方式、血清免疫抑制酸性蛋白（IAP）、肿瘤分期及大小。结果显示，偶然诊断病例的比例有所增加。放射影像学检查（尤其是超声和计算机断层扫描（CT））的常规使用，使得肿瘤比在将IAP用作偶然发现肾癌患者的肿瘤标志物时更早得到诊断。偶然发现肾癌的患者的肿瘤分期较低且体积较小，相比之下，疑似诊断的患者情况则不然。
