Gutiérrez J L, Val-Bernal J F, Portillo J A, Garijo F, Buelta L
Departamento de Anatomía Patológica, Hospital Nacional Marqués de Valdecilla, Santander, España.
Arch Esp Urol. 1990 Jun;43(5):481-6.
In 95 cases of renal adenocarcinoma (32 stage I, 18 II, 26 III, and 19 IV) submitted to radical nephrectomy and hilar lymphadenectomy with a follow-up of 5 years, we evaluated the prognostic value of the Robson classification (p less than 0.01), categories T (p less than 0.01), N (p less than 0.01), M (p less than 0.01) and V (p = NS), 3 clinical parameters (sex, age, duration of symptoms and signs) which proved to be of no prognostic value, and 6 macroscopic features of the tumor (solid or cystic nature of the tumor, presence of intrarenal tumor satellite modules, ureteric invasion, tumor size, site and intrarenal location of the tumor). Four of the foregoing proved to influence prognosis.
对95例接受根治性肾切除术和肾门淋巴结清扫术且随访5年的肾腺癌患者（32例I期、18例II期、26例III期和19例IV期），我们评估了罗布森分类法（p<0.01）、T分类（p<0.01）、N分类（p<0.01）、M分类（p<0.01）和V分类（p=无统计学意义）的预后价值，3项临床参数（性别、年龄、症状和体征持续时间）被证明无预后价值，以及肿瘤的6项宏观特征（肿瘤的实性或囊性性质、肾内肿瘤卫星结节的存在、输尿管侵犯、肿瘤大小、肿瘤部位和肾内位置）。上述因素中有四项被证明会影响预后。
