董立新, 姚欣, 陈华, 贾炜莹, 李文录. 11例原发性肾肉瘤临床治疗分析[J]. 中国肿瘤临床, 2004, 31(3): 158-161.
引用本文: 董立新, 姚欣, 陈华, 贾炜莹, 李文录. 11例原发性肾肉瘤临床治疗分析[J]. 中国肿瘤临床, 2004, 31(3): 158-161.
Dong Li-xin, Yao Xin, Chen Hua, . Primary Sarcomas of the Kidney[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(3): 158-161.
Citation: Dong Li-xin, Yao Xin, Chen Hua, . Primary Sarcomas of the Kidney[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(3): 158-161.

11例原发性肾肉瘤临床治疗分析

Primary Sarcomas of the Kidney

  • 摘要: 目的:探讨成人原发性肾肉瘤的临床表现、病理特点和预后影响因素。方法:收集1970年1月~2000年12月收治的成人肾脏肿瘤752例,对其中11例原发性肾肉瘤进行回顾性分析。结果:11例中8例以肿块、消瘦为首发症状;11例术后病理确诊为:恶性纤维组织细胞瘤5例,平滑肌肉瘤3例,脂肪肉瘤2例,低分化肉瘤1例。术后无残余瘤组平均生存期为5.8年,残余瘤组术后平均生存10.6个月;恶性纤维组织细胞瘤平均生存期为6个月、平滑肌肉瘤和脂肪肉瘤分别为3.5和10.2年。结论:肿块、消瘦是肾肉瘤的最常见临床症状,病理类型及术后有无残余瘤是决定预后的重要因素。

     

    Abstract: Objective : To investigate the clinical situations, pathological characteristics andprognostic factors of primary adult renal sarcoma. Meth-ods : 752 cuses of adult renal tumors weretreated in our hospital from 1970 to 2000,11 cuses of primary renal sarcoma in all of the tu-mars were analysesed retrospectively. Results : The first symptom of 8 cuses in all renal sarcomaswere mass and thinness. The pos-operational pathologic diagnoses were malignant fibrous histocy-tomes (5 cases), leiomyosarcoma (3 cases), liposarcoma(2 cases), and low-lifferentiated sarcoma (1 case) respectively. The average survival duration of the no-tumor-remained group was 5.8 years,and the tumor-remained group was 10.6 months. The average survival duration of malignant fi-brows histiocytom was months, leiomyosarcoma was 3.5 years, and liposarcoma was 10.2 years, re-spectively. Conclusion : Mass and thinness are the most common clinical symptom of renal sarco-mess. The pathologic type and no pos-operational remained tumor are the major prognostic factors.

     

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