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[肾腺癌根治性肾切除术后的局部复发]

[Local recurrence following radical nephrectomy for renal adenocarcinoma].

作者信息

Calozet Y, Abi Aad A S, Van Cangh P J

机构信息

Service d'Urologie, Cliniques Universitaires St-Luc, Bruxelles.

出版信息

Acta Urol Belg. 1994 Sep;62(3):17-9.

PMID:7976849
Abstract

PRESENTATION

If the rate of tumoral relapse after partial nephrectomy for hypernephroma is 8-10%, this element is rarely reported in the literature after radical nephrectomy.

PATIENTS AND METHODS

159 patients (pts) have undergone radical nephrectomy for kidney adenocarcinoma. Mean age is 61.3 years (26-85 years). The mean duration of follow-up is 50.8 months (12-183 months). The patients were regularly followed by abdominal CT scan at 6 months and than yearly by CT scan and chest X-ray.

CONCLUSION

Considering the poor incidence of local relapse (1.3%) after nephrectomy and in a period where economical aspect weigh on our practice, a new policy of post-operative follow-up should be carried.

摘要

临床表现

如果肾细胞癌行部分肾切除术后肿瘤复发率为8% - 10%,那么在根治性肾切除术后这种情况在文献中很少被报道。

患者与方法

159例患者因肾腺癌接受了根治性肾切除术。平均年龄为61.3岁(26 - 85岁)。平均随访时间为50.8个月(12 - 183个月)。患者术后6个月定期进行腹部CT扫描,之后每年进行CT扫描和胸部X光检查。

结论

考虑到肾切除术后局部复发发生率较低(1.3%),且在当前经济因素影响我们医疗实践的时期,应实施新的术后随访策略。

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