Calozet Y, Abi Aad A S, Van Cangh P J
Service d'Urologie, Cliniques Universitaires St-Luc, Bruxelles.
Acta Urol Belg. 1994 Sep;62(3):17-9.
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.
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.
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.
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。
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。
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。
