【摘要】 本文报告15例13～30岁的青少年肾细胞癌,占本科收治肾癌的16.66％,且近5年发现的病例明显多于过去24年。女多于男,左侧多于右侧。临床表现以包块的发生率高于成人为突出,常规对腹部包块、肉眼血尿病人行静脉尿路造影及“B”超检查,将大大提高及时确诊的可能。本组5年生存率仅33.33％,预后与肿块的大小、部位无明显关系,而与肿瘤分期、病程长短及有无纤维假性被膜形成有关。更多还原

【Abstract】 Renal cell carcinoma in young adults isuncommon but perhaps it is not as rare assomeone thought. From 1956 to March 1986,15 cases aged from 13-30 years, giving anincidence about 16.66% in all cases of renalcell carcinoma, have been treated in ourdeparment.The incidence in female is higherthan in male, and the left side is morecommonly affected than the right, no bila-teral case in this series. An abdominal mass was palpable in66.66% of patients, positive findings on IVP,retrograde pyelograms and "B" mode ultra-sound examination were more than 90%,but the calcification of the renal cell carci-noma was present only in one patient inour group on plain film of abdomen X-ray. The over-all five-year survival rate was33.33%. The clinical stage, the duration ofdisorder and the pseudocapsule formation ofthe tumor were the most important factorsrelated to the survival rate, but the tumorsize, location and characteristics of the tumorwere not corresponding to it. The prognosiswas poor in patients with renal vascularinvasion (stage Ⅱ b) or distant metastases(stage Ⅲ), no one could survive more thanone year.更多还原