Chinaglia D, Belussi D
Arch Ital Urol Androl. 1997 Apr;69(2):105-7.
Between 1992 and 1996 we examined 387 kidneys after nephrectomy for renal cell carcinoma. The capsules were removed and the kidneys were serially sectioned at 5 mm intervals; cortical and intraparenchymal nodules were examined histologically. Of the 387 kidneys 12 (3%) contained multifocal renal cell carcinoma and only 3 with clinically overt tumor ut to 3 cm. in diameter. We conclude that partial nephrectomy should be widely accepted in patients with small renal cell carcinoma in presence of a normal controlateral kidney.
1992年至1996年间，我们对387例因肾细胞癌行肾切除术后的肾脏进行了检查。取出包膜，将肾脏以5毫米的间隔连续切片；对皮质和实质内结节进行组织学检查。在这387个肾脏中，12个（3%）含有多灶性肾细胞癌，只有3个有直径达3厘米的临床明显肿瘤。我们得出结论，对于对侧肾脏正常的小肾细胞癌患者，应广泛接受部分肾切除术。
