1981 Volume 12 Issue 2 Pages 113-122
Of 17 cases with renal tumor, 9 cases (53%) with renal cell carcinoma treated from Jan. 1978 to Jun. 1980 were reviewed. The results obtained were as follows. 1) Encounter rates with such patients were 0.14% of outpatients and 1.10% of inpatients. 2) The right kidneys were more affected than left, the ratio being 3 to 1 female patients were more commonly affected, the ratio being 2 to 1, different from other reports. The average age of patients was 57 years old. 3) The most frequent symptom was macroscopic hematuria (66.7%), but only 22.2% had the classic triad, namely macroscopic hematuria, renal mass and flank pain. 4) Raised erythrocyte sedimentation rate, anemia, lymphopenia, dysproteinemia and pyrexia were demonstrated to be factors of significantly poorer prognosis with regard to the disease. 5) Renal angiography was most useful for the diagnosis. 6) Nephrectomy combined with chemotherapy and/or radiotherapy was performed for 7 cases (78%), and other 2 cases received conservative therapy, followed by no effect in the latter. 7) Actual survival rate was 65% for total cases, 85% for nephrectomized cases. 8) The duration of symptom, tumor size, staging, grading, elevated ESR., anemia, lymphopenia, dysproteinemia and fever were important for the judgement of prognosis of the disease.
