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Chromophobe renal cell carcinoma: analysis of 53 cases.

机译:嗜铬肾细胞癌:53例分析。

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摘要

To discuss the pathological and clinical characteristics, treatments and prognosis of chromophobe renal cell carcinoma (CRCC).We developed a database that contained 1,870 patients who were diagnosed with renal cell carcinoma (RCC) and who underwent surgery in our hospital between 2002 and 2010. Afterward, the clinical and pathological data of 53 CRCC cases were extracted and analyzed.The mean age of the 53 patients at diagnosis was 50.2 years (range, 21-88 years), and the ratio of male to female was 1:1. All tumors were unilateral and a majority of them (69.8%) were discovered incidentally. The mean tumor size was 5.8 ± 3.2 cm (range, 2-20 cm). Stage T1, T2, and T3 tumors, in accordance with 2004 TNM classification, accounted for 75.5, 13.2 and 11.3% of all cases, respectively. By histologic grading, 11.3, 73.6 and 15.1% of the tumors were G1, G2, and G3, respectively. Forty-one (77.4%) patients underwent radical nephrectomy, 12 (22.6%) underwent partial nephrectomy. Forty-five (84.9%) patients with follow-up results were alive after a mean follow-up of 34 months (range, 4-79 months). Tumor metastasis was discovered in 2 patients: one tumor metastasis was found in the liver 4 months postoperation, and the other was found in the lumbar vertebrae 47 months postoperation. No local recurrence was found. The overall survival rate was 100%.CRCC is an uncommon subtype of RCC, with a favorable prognosis. Chinese patients are seemingly younger at diagnosis. Prediction of prognosis is still difficult.
机译:为探讨发色性肾细胞癌(CRCC)的病理,临床特征,治疗和预后,我们建立了一个数据库,该数据库包含2002年至2010年间在本医院接受手术诊断的1870例诊断为肾细胞癌(RCC)的患者。随后提取并分析了53例CRCC的临床和病理资料,确诊的53例平均年龄为50.2岁(范围21-88岁),男女之比为1:1。所有肿瘤均为单侧,偶然发现其中大多数(69.8%)。平均肿瘤大小为5.8±3.2厘米(范围2-20厘米)。根据2004年TNM分类,T1,T2和T3期肿瘤分别占所有病例的75.5%,13.2%和11.3%。从组织学分级来看,分别为G1,G2和G3的肿瘤占11.3%,73.6和15.1%。进行根治性肾切除术的患者为41例(77.4%),部分肾切除术的患者为12(22.6%)。平均随访34个月(范围4-79个月)的四十五(84.9%)位具有随访结果的患者还活着。 2例患者发现了肿瘤转移:术后4个月在肝脏中发现了一个肿瘤转移,术后47个月在腰椎中发现了另一个肿瘤转移。找不到本地复发。总生存率为100%。CRCC是RCC的罕见亚型,预后良好。中国患者看似年轻。预后的预测仍然很困难。

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