腎腫瘍の臨床的観察,特に臨床成績と予後について

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(1) 78 cases of renal neoplasms, both benign and malignant, were seen at the Department of Urology, Niigata University Hospital from Jan. 1950 to Dec. 1966. This group was made up of 65 tumors of the renal parenchyma, 12 tumors of the renal pelvis and a tumor of the renal capsule. Follow-up study was made on all of them. Of all 78 cases, 75 cases (96.2%) were traced and 3 cases were missed from the study. Survival data in cases of malignant neoplasms was evaluated by the actuarial method. Prognosis was related to clinical findings. Of 65 tumors of the renal parenchyma, 63 were malignant and 2 were benign. Among them there were 50 renal cell carcinomas and 8 Wilms' tumors. Of 12 tumors of the renal pelvis, 11 were malignant and one was benign. (2) For the entire traced series of malignant renal tumors, 3-year, 5-year, and 10-year survival rates were 47.6%, 35.1%, and 21.6%, respectively. 5-year survival rate for malignant tumors of the renal parenchyma was 33.1%, while the rate for renal pelvic tumors was 48.5%. For renal cell carcinomas 3-year, 5-year, and 10-year survival rates were 54.9%, 37.2%, and 20.1%, respectively, while for Wilms' tumors 3-year and 5-year survival rates were 25% each. (3) Prognosis was related to period between onset of symptoms and admission, grades of anemia and leucocytosis, erythrocyte sedimentation rate, size of tumor and venous involvement. The highest survival rate was obtained in cases treated by both surgery and irradiation.
社団法人日本泌尿器科学会の論文
1970-00-00

腎腫瘍の臨床的観察,特に臨床成績と予後について

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