Bruhl P, Scheef W, Albert H, Bucheler E
J Urol Nephrol (Paris). 1976 Jun;82(6):417-27.
The nowadays best treatment of the hypernephroid carcinoma of the kidneys is the radical tumornephrectomy with following supervoltage-radiation. Recently before any surgical treatment a short radiation with a dose of 1 500 up to 2 000 R is recommended. Hereby a preoperative devitalization of tumor-cells should be achieved. An application of cytostatica would be useless. Sometimes in generalized cancers a recession of the metastases and a stagnation of the growth of the tumor for a long time can be achieved by the application of gestagens. The statistical analysis of results won in a clinic or by some defined modalities of treatment respectively the comparison of these results with the ones won by other authors is rather difficult. This would demand comparable collectives of patients. With the relative rarity of kidney cancers this would be only possible if many clinics would co-operate on a national and international base and if the modalities of treatment were equal. Not before the question for the best therapy of the hypernephroid carcinoma of the kidneys can be answered.
目前治疗肾肾上腺样癌的最佳方法是根治性肿瘤肾切除术，随后进行超高压放疗。最近，在任何手术治疗之前，建议进行一次剂量为1500至2000伦琴的短程放疗。借此应实现肿瘤细胞的术前失活。应用细胞抑制剂将毫无用处。有时，在全身性癌症中，通过应用孕激素可使转移灶消退，并使肿瘤生长长期停滞。对在一家诊所获得的结果或通过某些确定的治疗方式进行统计分析，或将这些结果与其他作者获得的结果进行比较相当困难。这需要可比的患者群体。鉴于肾癌相对罕见，只有在许多诊所进行国家和国际层面的合作且治疗方式相同时才有可能做到。在能够回答肾肾上腺样癌的最佳治疗问题之前，情况一直如此。
