Jaschke W, van Kaick G, Palmtag H, Strauss L
Strahlentherapie. 1981 Feb;157(2):94-8.
Fifty-eight patients with malignant renal tumors were submitted to computed tomography scanning. Fifty patients were operated. In eight patients, the disease was too advanced to allow a surgical treatment. The preoperative classification of stages was made according to the Robson scheme and compared with the results of the postoperative histopathological examination. There were identical results in 82% of all operated patients. An analysis of the individual results (fat tissue infiltration, lymph node metastases, infiltration of adjacent organs or veins) shows that the method is limited by the uncertain estimation of the renal vein as well as of the beginning fat tissue infiltration. The good results should give occasion to adopt the computed tomography scanning of the kidney into the staging catalogue of IUCC. Computed tomography scanning should be the basic examination for preoperative staging of renal tumors.
58例恶性肾肿瘤患者接受了计算机断层扫描。50例患者接受了手术。8例患者病情过于严重，无法进行手术治疗。术前根据罗布森（Robson）分期方案进行分期，并与术后组织病理学检查结果进行比较。所有接受手术的患者中，82%的结果一致。对个体结果（脂肪组织浸润、淋巴结转移、邻近器官或静脉浸润）的分析表明，该方法受肾静脉及脂肪组织浸润起始情况判断不确定性的限制。良好的结果应促使将肾脏计算机断层扫描纳入国际抗癌联盟（IUCC）的分期目录。计算机断层扫描应作为肾肿瘤术前分期的基本检查。
