Mäntylä M, Nordman E, Minkkinen J
Ann Clin Res. 1977 Aug;9(4):252-6.
125 patients with renal adenocarcinoma treated at two departments of radiotherapy in Finland are presented. 82 (66%) of the patients had localized disease and 43 (34%) had distant metastases. The five year survival for all stages was 38% and for cases with local disease 56%. There were no essential differences among Stage I, II and III patients treated with surgery alone or treated with combined operation and postoperative radiotherapy. For tumours with infiltration to adjacent organs or metastases in the lymph nodes the survival was slightly higher after combined surgery and radiotherapy than after surgery alone. For patients with P4 tumours or regional lymph node dissemination postoperative radiotherapy is recommended.
本文介绍了芬兰两个放疗科室治疗的125例肾腺癌患者。其中82例（66%）为局限性疾病，43例（34%）有远处转移。所有分期患者的五年生存率为38%，局限性疾病患者为56%。仅接受手术治疗或接受联合手术及术后放疗的I、II和III期患者之间没有本质差异。对于浸润至相邻器官或有淋巴结转移的肿瘤，联合手术和放疗后的生存率略高于单纯手术。对于P4肿瘤或区域淋巴结转移的患者，建议进行术后放疗。
