The cause of kidney cancer is still unknown. Investigations have found that smokers and people exposed to industry have a higher incidence of kidney cancer, and there is a family tendency to develop the disease. 【treat】 1. Surgical treatment (A) Radical nephrectomy: The resection includes the tumor, adrenal gland, perirenal fat and retroperitoneal lymph nodes. (ii) Simple nephrectomy: Indications include elderly and frail patients who are not suitable for radical nephrectomy and patients with early small renal tumors. (iii) Partial nephrectomy or tumor resection: Suitable for patients with solitary kidney cancer that has not yet spread. (IV) Renal artery embolization plus nephrectomy: Suitable for patients with large collateral veins, uncontrollable bleeding during surgery, and large renal tumors that cannot be removed 2. Radiation therapy (1) Preoperative radiotherapy: The efficacy is uncertain. (ii) Postoperative radiotherapy: Suitable for patients whose tumors invade the renal capsule and lymph nodes are affected. 3. Chemotherapy (I) Combination chemotherapy based on vinblastine, but it is highly toxic and has little efficacy. (ii) Anguan progesterone treatment has a certain effect on advanced renal cancer. IV. Immunotherapy Increase the body's immune function. Currently, commonly used immune preparations include immune RNA, BCG, interferon, Lak cells and autologous tumor infiltrating lymphocytes. [Prognosis] The prognosis of renal cancer is related to the pathological stage. 1. In recent years, due to the improvement of imaging diagnostic technology, kidney cancer can be detected early and treated early, which can improve the prognosis. 2. The 5-year survival rate of nephrectomy is 30% to 45%. 【prevention】 It is recommended that elderly people over 50 years old should undergo B-ultrasound examination during their annual physical examination to detect kidney cancer at an early stage. |
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