Wang G Y
Tianjing Institute of Urology, Tianjin.
Zhonghua Zhong Liu Za Zhi. 1991 Sep;13(5):389-91.
With the advent of sonography and CT, renal cell carcinoma has increasingly been diagnosed in its early stage, with simple hematuria or no symptoms as the incidence of patients with masses and extrarenal extensions decreased. Correlating the clinical manifestations with stage, hematuria and pain may not imply an advanced lesion (31.4% Stage I). By adequate use of B ultrasonography and/or other instrument, many of renal cell carcinoma could be detected in its asymptomatic stage, a crucial requirement for better therapeutic results. The authors' data showed that fever, elevated ESR, varicocele and general malaise did imply advanced lesions or possible early metastasis after operation. On the other hand, complication with hypertension or erythremia could speak for an early lesion if diagnosis is made in time. Therefore, stratification of the extrarenal manifestations into endocrine and non-endocrine phases may help assess prognosis.
随着超声检查和CT的出现，肾细胞癌越来越多地在早期被诊断出来，由于有肿块和肾外扩展的患者发病率下降，单纯血尿或无症状的情况增多。将临床表现与分期相关联，血尿和疼痛可能并不意味着病变处于晚期（31.4%为I期）。通过充分使用B超和/或其他仪器，许多肾细胞癌可在无症状阶段被检测到，这是获得更好治疗效果的关键要求。作者的数据表明，发热、血沉升高、精索静脉曲张和全身不适确实意味着病变处于晚期或术后可能早期转移。另一方面，如果能及时诊断，高血压或红细胞增多症并发症可能表明是早期病变。因此，将肾外表现分为内分泌期和非内分泌期可能有助于评估预后。
