Nurmi M J
Br J Urol. 1984 Jun;56(3):270-5. doi: 10.1111/j.1464-410x.1984.tb05385.x.
A consecutive series of 257 patients with renal carcinoma treated by radical nephrectomy is presented. The crude 5-year and 10-year survival rates for all patients were 47 and 31% respectively and for patients without distant metastases 62 and 50%. The importance of factors relating to prognosis was investigated with multivariate survival analysis. Metastases, nodal involvement and histological grade were strongly and independently associated with survival, but the influence of venous invasion was less important. When these factors are taken into consideration, direct extension, size and cell type of the tumour or sex and age of the patient give no significant additional prognostic information.
本文报告了连续257例接受根治性肾切除术治疗的肾癌患者。所有患者的5年和10年粗生存率分别为47%和31%，无远处转移患者的5年和10年粗生存率分别为62%和50%。通过多因素生存分析研究了与预后相关因素的重要性。转移、淋巴结受累和组织学分级与生存密切且独立相关，但静脉侵犯的影响相对较小。考虑这些因素后，肿瘤的直接蔓延、大小、细胞类型或患者的性别和年龄并未提供显著的额外预后信息。
