Jonas D, Weber W, Beckert H, Thoma B, Dorn B, Müller H, Stutte H J
Urol Int. 1984;39(2):110-3. doi: 10.1159/000280956.
40% or 116 of 350 patients with renal carcinoma had distant metastases at the time of hospital admission (M1, N0-4). Women fell ill less often than men did (3:7). 82 of 116 patients (71%) received nephrectomy primarily. Lethality within the first 30 days was 6%. Patients with nephrectomy survived longer than those without, women with nephrectomy survived longer than men. Patients with a grade II tumor survived longer than those with a grade III tumor. Palliative nephrectomy can therefore be recommended as treatment of choice, if the general condition of the patient allows it, the more so as there are no alternative ways of treatment.
350例肾癌患者中，40%（即116例）在入院时已有远处转移（M1，N0 - 4）。女性患病的频率低于男性（3:7）。116例患者中有82例（71%）首先接受了肾切除术。术后30天内的死亡率为6%。接受肾切除术的患者比未接受肾切除术的患者存活时间更长，接受肾切除术的女性比男性存活时间更长。II级肿瘤患者比III级肿瘤患者存活时间更长。因此，如果患者的一般状况允许，推荐姑息性肾切除术作为首选治疗方法，尤其是因为没有其他替代治疗方法。
