肾细胞癌的流行病学和临床病理的概要:回顾从三级保健咨询中心。
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Pallagani L,乔杜里GR, Himanshu P, Madduri VKS改进,辛格M,古普塔P, Shrivastava N, Baid G,米纳克希R, Aasma N, Pareek P (Sanjeev M
肾细胞癌的流行病学和临床病理的概要:回顾从三级保健咨询中心。
J肾癌VHL。2021年1月20日,8 (1):1 - 6。doi: 10.15586 / jkcvhl.2021.154。eCollection 2021。
- PubMed ID
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33552876 (在PubMed]
- 文摘
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肾细胞癌(RCC)占所有成人癌症的3%和85%的肾肿瘤。在亚洲地区碾压混凝土的发生率较低,特别是在印度,可能由于缺乏报道。大部分的数据从西方国家对碾压混凝土;从印度和数据稀缺,特别是有关para-neoplastic综合症。我们试图确定的流行病学、临床病理的碾压混凝土的配置和管理三级护理中心在印度西部。这是一个回顾性研究,记录相关数据分析碾压混凝土的患者呈现给我们的机构从2016年4月到2020年2月。实验室调查,包括测试副肿瘤综合征(pn),和相关的放射进行调查和治疗提供了根据阶段,患者因素和可用的模式。总共142 RCC患者纳入研究。演讲的中值年龄58岁。大多数患者症状(67%),33%的患者无症状,碾压混凝土被诊断出顺便说一下。 A large number of patients (56.3%) had PNS. The most common histopathologic type of RCC was clear cell carcinoma (68.8%), followed by papillary (20%) and chromophobe (8%) carcinoma. 40% of carcinomas with sarcomatoid differentiation were seen in patients under 50 years of age. Two cases of multicystic RCC were both seen in patients less than 50 years of age. 65.5% of the patients presented at Stage 1 and 2. Most surgeries (71.2%) were done in a minimally invasive manner. A significant number of patients were asymptomatic, in which RCC was detected incidentally. The age of presentation was earlier, yet the patients had a higher tumour stage. More than half of the patients had PNSs. Despite growing trend towards Western data, the significantly higher number of patients with PNSs and early age of presentation suggest inherent differences in tumour biology, possibly related to differences in genetic and environmental factors.
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