腎細胞癌の臨床的研究

Abstract

Clinical studies were made on 46 cases of renal adenocarcinoma seen over the past 10 years (1956 to 1975) in Urological Department of Kobe University l1edical School, and the following results were obtained. 1. The sixth and fifth decades accounted for 63% of all cases, and the sexual ratio was 1.7: 1 with male patients predominating over female patients. 2. Subjective symptoms included gross hematuria (63%), flank pain (39%), fever (9%), fatigue(7%), tumor mass, neurotic disturbance and bone pain (4%, each). 3. Objective findings included anemia (51 %), raised ESR (50%), hypertension (40%), fever (24%), raised alkaline phosphatase (23%), abnormal liver function (11%), and erythrocytosis (2%). 4. Metastasis was seen in 14 cases (30%), of which lung metastasis being the highest incidence accounting for 20% of all cases. 5. The stage of cancer, hemoglobin level on admission and tumor weight closely related to the prognosis, whereas ESR could not be factor proved to have any appreciable correlation with the prognosis.