Marshall F F
James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD 21205.
Semin Surg Oncol. 1988;4(2):129-32.
Aggressive surgical management is the primary effective treatment of renal cell carcinoma, even with regional spread to lymph nodes or the vena cava. The extent of regional lymphadenectomy with radical nephrectomy and excision of vena-caval tumor thrombi are defined. In the future, with increasingly effective adjuvant therapy, these adjuncts to radical nephrectomy will continue to be important in the treatment of renal cell carcinoma.
积极的手术治疗是肾细胞癌的主要有效治疗方法，即使肿瘤已局部扩散至淋巴结或腔静脉。根治性肾切除术区域淋巴结清扫的范围以及腔静脉肿瘤血栓的切除范围已明确。未来，随着辅助治疗效果的不断提高，这些根治性肾切除术的辅助手段在肾细胞癌的治疗中将继续发挥重要作用。
