Bischoff W, Sommerkamp H
Schweiz Med Wochenschr. 1977 May 21;107(20):699-704.
Critical examination of the results of surgical treatment and new surgical techniques have produced changes in the operative treatment of hypernephroid kidney cancer and nephroblastoma. The limits to operative treatment are, first, the local extension and infiltration of the tumor and, second, the grade and degree of metastases. Surgical removal of the hypernephroma seems to have a positive effect on metastasis regression only in the case of bone metastases. Nephrectomy is indicated only in cases with solitary metastases which can be removed at a second operation. The possibility of arterial embolization in renal hemorrhage in inoperable patients is demonstrated. Current aspects of the operative treatment of nephroblastoma are discussed.
对外科治疗结果的严格审查以及新的外科技术已使肾上腺样肾癌和肾母细胞瘤的手术治疗发生了变化。手术治疗的局限，首先是肿瘤的局部扩展和浸润，其次是转移的分级和程度。仅在骨转移的情况下，手术切除肾上腺样瘤似乎对转移灶消退有积极作用。肾切除术仅适用于可在二次手术时切除的孤立转移灶病例。证明了在无法手术的患者发生肾出血时进行动脉栓塞的可能性。讨论了肾母细胞瘤手术治疗的当前各个方面。
