肾脏肿瘤（Kidney neoplasms）.docVIP

肾脏肿瘤（Kidney neoplasms） Kidney neoplasms By Qian Jianping Improving the renal tumors accounted for about 1% of adult malignancies, the vast majority of malignant, common with renal carcinoma, carcinoma of renal pelvis, nephroblastoma; various tissues of benign tumors from the kidney, such as hemangioma, fibroma, lipoma, leiomyoma and hamartoma, but not all and 5% renal tumors. One, kidney cancer (this is focal point) Due to renal parenchymal malignant tumor which was also known as renal cell carcinoma, renal cell carcinoma is the most common renal tumors, accounting for about 75% of the total number of renal tumor incidence to 80%, over the age of 40 years old to 60 years old, male more than female, about 3 to 5: 1, no significant difference between the both sides of kidney disease, at the same time the incidence of rare. (I) pathology and staging Which was the source of renal cell carcinoma in renal tubular epithelial cells, a clear cell carcinoma, the differentiation of cancer cells is better; the other is granular cell carcinoma cells, such as poor differentiation, malignant degree is high; there is a spindle cell carcinoma. Improving the clinical staging of renal cell carcinoma, generally according to Robson classification can be divided into: stage IV (prognosis) Stage 1: tumor confined to renal parenchyma. Stage II: the lesion breaks through the renal capsule into the perirenal fat capsule, but is still in the fascia. Stage III: the tumor thrombus enters the renal vein or inferior vena cava, and the cancer cell enters the lymph node metastasis. Stage IV: tumor invading adjacent organ or tumor, distant metastasis. The transfer of the brand is mainly through the blood supply of renal cell carcinoma and lymph node two, cancer embolus grew into the venous system and even spread to the right atrium, lymph node metastasis is first transferred to the renal hilar lymph node (lymph node biopsy can be done), further transferred to hilar lymph node, The chance to lung met