Pongracz N, Zimmerman R, Kotz R
Department of Orthopaedics, University of Vienna, Austria.
Semin Surg Oncol. 1988;4(2):139-42.
Pain and loss of function of the skeleton are the main symptoms of patients with bony metastases of renal cancer. Experience with 57 patients (40 of them had 52 operations) shows the surgical possibilities for early restoration of function and pain relief. Metastases were mainly localized in the femur, vertebral column, and humerus. Surgical management after nephrectomy consisted either in curettage and stabilization with plates and bone cement in case of multiple metastases or in resection and endoprosthetic treatment for solitary lesions. Thus the quality of life could be improved in every case. Survival time and primary diagnosis of hypernephroma prior to the detection of bony metastases are closely related.
疼痛和骨骼功能丧失是肾癌骨转移患者的主要症状。对57例患者（其中40例接受了52次手术）的经验表明了早期恢复功能和缓解疼痛的手术可能性。转移主要位于股骨、脊柱和肱骨。肾切除术后的手术治疗，对于多发转移灶，采取刮除并用钢板和骨水泥固定；对于孤立性病灶，则进行切除和假体植入治疗。因此，在每种情况下都可以改善生活质量。生存时间与骨转移发现前肾细胞癌的初步诊断密切相关。
