De Giovanni M, Fanciullacci F, Casella F, Lombardi F, Zanollo A
Divisione di Urologia, O.C. Fornaroli-USSL 72-Magenta (Mi).
Arch Ital Urol Nefrol Androl. 1991 Jun;63(2):239-44.
Epidemiology, diagnostics, staging, surgical procedure and survival data of 219 patients with renal cells carcinoma are reported (1970-1990). Diagnosis is based on Tc and angiography. Possibly in the future high sensitivity methods like Magnetic Resonance could limit the use of invasive techniques. 207 patients underwent radical nephrectomy and 68 of these lymphadenectomy too (para and pre aortic and/or caval). In 41 patients the tumor had involved the venous system and 9 cavatomies, 2 caval resections and 1 atriotomy have been performed. In the stage T1-T2-T3 NoMoVo the survival rate (at. 5 years) is 87%, 80%, and 75% respectively. The survival in N+MoVo patients is 17% (at 5 y.) and in V+NoMo patients 57%.
报告了219例肾细胞癌患者的流行病学、诊断、分期、手术方法及生存数据（1970 - 1990年）。诊断基于Tc和血管造影。未来，像磁共振成像这样的高灵敏度方法可能会限制侵入性技术的使用。207例患者接受了根治性肾切除术，其中68例还接受了淋巴结切除术（腹主动脉旁和/或腔静脉前及/或腔静脉旁）。41例患者肿瘤累及静脉系统，已进行9次腔静脉切开术、2次腔静脉切除术和1次心房切开术。在T1 - T2 - T3 NoMoVo期，5年生存率分别为87%、80%和75%。N + MoVo患者的5年生存率为17%，V + NoMo患者的5年生存率为57%。
