Sease W C, Belis J A
J Urol. 1986 Oct;136(4):792-4. doi: 10.1016/s0022-5347(17)45081-6.
Computerized tomography of the abdomen was used to detect local and intra-abdominal recurrence of renal cell carcinoma within 2 years in 22 patients with stage I, II or IIIA disease at the time of initial radical nephrectomy with regional lymphadenectomy. Six patients had recurrences initially limited to the abdomen and retroperitoneum. Therapeutic procedures, including surgical excision of recurrent tumor in 2 patients, did not alter the progression of the disease. Computerized tomography provides earlier detection of local recurrence of renal cell carcinoma but current therapy offers limited benefit when a recurrence is detected.
对22例在初次根治性肾切除术及区域淋巴结清扫术时处于I期、II期或IIIA期疾病的患者,采用腹部计算机断层扫描来检测2年内肾细胞癌的局部及腹腔内复发情况。6例患者最初复发局限于腹部和腹膜后。治疗措施,包括2例患者接受复发性肿瘤的手术切除,并未改变疾病的进展。计算机断层扫描能更早检测到肾细胞癌的局部复发,但当检测到复发时,目前的治疗效果有限。