mbt shoes italia Surgery of malignant kidney tumor

xp574088 · Wysłany: Sob 13:43, 19 Mar 2011

Malignant renal tumors and kidneys, and six cases of surgery

B ultrasonic examination for the renal lesions in real terms, in May 1992 admission. Simultaneously due to bilateral renal patients do not want to, and in June 12, 1992 line on the right kidney enucleation. Found in the right kidney patients have three size of the tumor diameter l ~ 3cm. Pathology; right kidney adenocarcinoma (clear cell type), postoperative recovery was smooth. After a year, in his left kidney who underwent partial resection and tumor enucleation, the upper pole of left kidney surgery see the tumor diameter of about 3.5cm, 1.5cm in diameter under the very size of the tumor. Pathology; renal clear cell carcinoma. More than 5 years after right renal tumor re-46 * no hair,[link widoczny dla zalogowanych], living a normal life with the B-2 discussed in recent years, CT, MRI and other imaging technology advances, the kidneys have a deeper understanding of anatomy, surgical technique combined with improvement of malignant kidney tumor surgery and kidneys obtained satisfactory results, so that surgery of renal tumors and kidneys showed very good prospects, which further confirmed the feasibility of preserving kidney surgery. Light [and other reports of 700 cases of renal cell carcinoma preserve renal tissue surgery, the survival rate of 80 or more. Li Yan Tang China reports 3 cases of renal tumors preserve renal tissue surgery, followed up for 4 years without recurrence. 6 patients in this group, except 1 patient died of uremia after 5 years, 1 patient died of tumor recurrence 2 years, the remaining 4 cases has been more than 4 years, there was no tumor recurrence. Its efficacy is satisfactory. Solitary kidney or bilateral renal tumors, the side of the tumor, the coexistence of the potential effects of contralateral renal function of renal diseases such as kidney stones, tuberculosis, water, renal artery stenosis,[link widoczny dla zalogowanych], renal arteriosclerosis, etc., is to adapt the operation and kidneys, sign. The group of 6 patients, 4 cases of isolated renal tumors, 1 case of bilateral renal tumors, 1 case of a unilateral kidney tumor, the coexistence of hydrocephalus and severe contralateral kidney, but the tumor before surgery is only confined to the kidney, no local invasion renal tumors or distant metastasis of renal cancer in the way surgical enucleation, partial nephrectomy, tumor resection and partial resection of isolated renal kidney transplantation of autologous B-, CT, MRI can more clearly show the site of the tumor and the presence of local invasion, especially selective digital subtraction angiography of renal artery can be clearly shows the boundaries of the tumor and the relationship with the renal vessels. These checks for the choice of surgical procedure to create the conditions. Surgical approach depends on the size and location of the tumor diameter 3cm below the most suitable for small tumor tumor enucleation; tumor located in a very, 5.5cm in diameter,[link widoczny dla zalogowanych], the tumor should be the following partial nephrectomy; larger tumors, multiple or in the middle of the kidney can be considered for partial nephrectomy in vitro plus autologous transplantation,[link widoczny dla zalogowanych], the postoperative complications than other surgical procedures, that is why The procedure should be carefully selected. The group of partial nephrectomy in 4 cases, 1 underwent tumor enucleation, one underwent tumor resection, the operations were very smooth. Kidneys, renal cell carcinoma prognosis of surgery depends on clinical stage and tumor cell types. The lower clinical stage, the better the prognosis of renal cell carcinoma metastasis and cell type, granular cell carcinoma and spindle cell carcinoma of clear cell carcinoma metastasis than more, and thus a higher degree of evil I students, prognosis is poor [3] . Renal pelvis carcinoma, squamous cell carcinoma of transitional cell carcinoma of the degree of malignancy than the higher + worse prognosis than transitional cell carcinoma. 2 fell in this group of clear cell carcinoma, 1 case of granular cell carcinoma has survived 4 years after surgery, no local recurrence and distant metastasis. 3 cases of transitional cell carcinoma patients, including 1 patient died of uremia after 5 years, 1 patient died of tumor recurrence 2 years. From the limited information found in this group, renal pelvis cancer, and kidneys, and the prognosis of surgery seems to be more surgical and kidneys, renal cell carcinoma prognosis is poor, the urine may be derived with the cause of the renal pelvis cancer related. Because the prognosis of renal cell carcinoma depends on tumor stage and tumor cell type, so surgery is currently no effective way of dealing with this group 2 cases of renal pelvic tumor after renal perfusion with mitomycin c, 1 1 year postoperative tumor recurrence, 1 case has not yet, the tumor recurrence, but died of uremia after 5 years may be related to mitomycin c on renal function have a certain relationship between the damage and 3 cases of renal cell carcinoma patients without any chemotherapy, has been 4 years,[link widoczny dla zalogowanych], no recurrence of renal tumors and kidneys, and local chemotherapy after surgery, their prognosis may be helpful.
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