Diagnosis and treatment of renal cell carcinoma: 89 cases of analysis

    LI Ming, ZHANG Hongª²Bin

    Department of Urology, Third Hospital of Chinese PLA, Baoji 721000, China

    ¡¾Abstract¡¿ AIM: To evaluate the diagnosis and treatment of renal cell carcinoma. METHODS: Medical records of 89 patients (male 54, female 35, age ranging from 18 to 87 years) with renal cell carcinoma from 1990 to 2003 were reviewed retrospectively. The right side of the kidney was involved in 53 cases, left side in 35 and double in 1 case. Concomitant primary liver cancer was also observed in 1 case. The superior, lower, and middle pole of kidney was involved in 36, 32, and 21 cases respectively. All the patients underwent ultrasound B, intravenous pyelography and CT examinations. Treatment included operation, chemotherapy, radiotherapy and biotherapy. RESULTS: Sixtyª²one cases in stage ¢ñ, ¢ò and ¢ó underwent radical surgery. One case in stage ¢ó underwent transvascular embolization. Twentyª²eight cases in stage ¢ô were treated by biological therapy, chemotherapy or radiotherapy. A 2-66 months of followª²up showed that all the cases in stage ¢ñ survived, the average survival time of stage ¢ò cases was 30 months, 16 months for stage ¢ó cases and 3.5 months for stage ¢ô cases. CONCLUSION: The survival time of patients with renal carcinoma can be prolonged through early diagnosis and treatment. The diagnosis of renal cell carcinoma can be made by medical imagology. Radical surgery is the most effective means for early renal cell carcinoma and that for late renal cell carcinoma is biological therapy. ......