Machida T, Ohnishi T
Dept. of Urology, Jikei University, School of Medicine.
Gan To Kagaku Ryoho. 1994 Jan;21(1):12-6.
Today's most important problems in diagnosing renal cell carcinoma are the methods for early detection and correct evaluation of disease stage. For early diagnosis, the abdominal ultrasonic diagnostic method should be used to screen the kidney in regional health checkups and complete medical examinations. In order to improve the accuracy of stage evaluation, various imaging modalities currently available should be used comprehensively. Chest radiography and abdominal CT scanning are especially effective. In detecting metastatic lesions, we should pay special attention to the fact that renal cell carcinomas tend to metastasize to the lung, liver and bone. At present, renal cell carcinoma is diagnosed principally by imaging, also in early diagnosis. It is desirable to establish tumor markers in the near future.
目前诊断肾细胞癌最重要的问题是早期检测方法和疾病分期的正确评估。对于早期诊断，应采用腹部超声诊断方法在区域健康检查和全面体检中对肾脏进行筛查。为提高分期评估的准确性，应综合使用目前可用的各种成像方式。胸部X线摄影和腹部CT扫描尤其有效。在检测转移病灶时，我们应特别注意肾细胞癌易于转移至肺、肝和骨这一事实。目前，肾细胞癌主要通过成像进行诊断，早期诊断亦是如此。在不久的将来建立肿瘤标志物是可取的。
