Doré B, Irani J, Augusti M, Laplace F, Aubert J
CHU de Poitiers, Paris, France.
Prog Urol. 1991 Aug-Sep;1(4):561-74.
Based on a retrospective series of 7 patients (6 men and 1 woman) with a mean age of 56.5 years, the authors describe the clinical, radiological and pathological features and the clinical course of sarcomatoid renal cancers in adults. They stress the severity of this type of tumour, due to the fact that the lesion is usually very advanced at the time of diagnosis (3 cases of Robson's stage III tumours and 4 stage IV tumours). Radiological assessment frequently reveals calcifications within the mass (4 out of 7 patients). Surgical excision is sometimes impossible and, when it can be performed, it has little influence on the prognosis or the survival.
基于对7例平均年龄为56.5岁的患者(6名男性和1名女性)的回顾性研究,作者描述了成人肉瘤样肾癌的临床、放射学和病理学特征以及临床病程。他们强调了这类肿瘤的严重性,因为在诊断时病变通常已非常晚期(3例罗布森分期III期肿瘤和4例IV期肿瘤)。放射学评估经常显示肿块内有钙化(7例患者中有4例)。有时无法进行手术切除,而当能够进行手术时,对预后或生存率的影响也很小。