基础医学与临床 ›› 2013, Vol. 33 ›› Issue (6): 740-743.

• 研究论文 • 上一篇    下一篇

不同年龄段肾细胞癌患者临床病理特点分析

王清海1,李亚健2,樊华3,石冰冰4,李汉忠3   

  1. 1. 中国医学科学院 北京协和医学院 北京协和医院 泌尿外科
    2. 中国医学科学院 北京协和医学院 泌尿外科
    3. 中国医学科学院 北京协和医学院 北京协和医院泌尿外科
    4. 中国医学科学院 北京协和医学院 北京协和医院
  • 收稿日期:2013-03-20 修回日期:2013-04-24 出版日期:2013-06-05 发布日期:2013-05-29
  • 通讯作者: 石冰冰 E-mail:shibbpumch@126.com

Clinicopathological features of renal cancer in different ages

  • Received:2013-03-20 Revised:2013-04-24 Online:2013-06-05 Published:2013-05-29
  • Contact: Bing-bing SHI E-mail:shibbpumch@126.com

摘要: 目的 探讨不同年龄段肾癌患者的临床病理特点。方法 分析北京协和医院2002年~2012年收治的2268例肾癌患者的临床病理资料,根据年龄及病理类型分为不同的组别进行分析。结果 2 268例肾癌病例中<40岁,40~59岁和60岁以上患者数目分别为260(11.5%),1 178(51.9%),和830(36.6%)。不同年龄组间患者肿瘤大小及TNM分期无差异。但是,在有临床表现的病例中,<40岁的患者组中的症状性肾癌发生率较高;不同年龄组间肾癌的病理学类型无显著性差异。此外,比较年轻患者多采用肾部分切除术,年龄较高患者多采用肾癌根治术。结论 应重视对青年人群的健康体检,肾癌治疗的主要方式仍是根治性手术,但应重视保留肾单位手术。

关键词: 肾癌, 年龄, 病理

Abstract: Objective To investigate the clinical pathological characteristics of different age patients with renal malignant tumor. Methods We analyzed the clinical and pathological data of 2,268 patients with renal malignant tumor admitted in PUMC hospital between 2002 and 2012. Patients were grouped according to age and pathological type. Results Among the 2,268 RCC patients, there were 260(11.5%),1178(51.9%),and 830(36.6%) patients aged <40, 40~59 and over 60 years old respectively. There were no significant differences in tumor size, and TNM stage by age group. However, patients <40 years old were significantly more likely to present with symptomatic tumors. There were no significant differences in histology by age; The surgical treatment of kidney cancer patients of different age groups was in different ways and the percentage of patients treated with partial nephrectomy declined with age. Conclusions the health examination of the youth crowd should be strengthened. the main form of treatment for kidney cancer is radical surgery, but we should pay attention to nephron sparing surgery.

Key words: renal cancer, Age factors, pathological

中图分类号: