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青年人肾细胞癌(简称肾癌)较为少见.我们自1980年1月～1995年1月共收治青年人肾癌15例,现就其临床特点分析如下:1 临床资料本组男8例,女7例,年龄16～30岁,平均25.3岁.肿瘤位于左侧6例,右侧9例.病程最短者1个月,最长者4年.前10年发病者5例,后5年发病者10例.临床表现:血尿9例(60.0%),腰痛11例(73.3%),包块9例(60.0%).有典型三联征者4例(26.7%).肾外表现:贫血8例(53.0%),血沉增快10例(66.7%),发热3例(20.0%),高血压、肝功能异常、红细胞增多各1例.l例无任何症状,为体检时经B超检查发现.诊断主要依靠B超、IVP、CT、MRI及肾动脉造影检查.15例术前获得确诊.但有4例入院前曾被误诊为肾结核、肾盂肾炎及肾结石.根据Robson分期:I期3例,Ⅱ期4例,Ⅲ期2例,
Young people with renal cell carcinoma (referred to as kidney cancer) is relatively rare.We have from January 1980 to January 1995 were admitted to young patients with renal cell carcinoma in 15 cases, the clinical features are as follows: 1 Clinical data The group of 8 males, Female 7 cases, aged 16 to 30 years old, an average of 25.3 years old.The tumor is located in the left 6 cases, right 9 cases.The shortest duration of 1 month, the longest 4 years.In the first 10 years of onset in 5 cases, after 5 years The incidence of 10 cases.The clinical manifestations: hematuria in 9 cases (60.0%), lumbago in 11 cases (73.3%), mass in 9 cases (60.0%) .There were 4 cases of typical triad symptoms (26.7% 8 cases (53.0%), ESR increased in 10 cases (66.7%), fever in 3 cases (20.0%), hypertension, abnormal liver function and erythrocytosis in 1 case.A case without any symptoms, The diagnosis was mainly based on B-ultrasound, IVP, CT, MRI and renal artery angiography .15 cases were diagnosed preoperatively, but 4 cases were misdiagnosed as renal tuberculosis, pyelonephritis and kidney stones before admission.According to Robson staging: 3 cases in stage I, 4 cases in stage II, 2 cases in stage III,