Clinical Observation on the 20 Cases of Renal Tumor

Choi, Won Ryong; Park, Yong Kyung

Abstract

A clinical observation was made on 20 patients with renal tumor who had been admitted to Department of Urology, Jeonbug National University Hospital during the period from January 1978 to March 1983. The following results were obtained. 1. The incidence of renal tumor among total 1892 inpatients was 1.1% and 5.1% among the 389 genitourinary tumors. The most prevalent age group was fifth decade. The sex ratio, male to female was 1.5:1. 2. Histopathological analysis showed renal cell carcinoma in 11 cases, transitional cell carcinoma in 2 cases, squamous cell carcinoma in I case, Wilms' tumor in 1 case, neuroblastoma in 1 case, hemangioma in I case and simple cyst in 3 cases. 3. The most frequent symptoms and signs were gross hematuria in 11 cases(55%), flank pain in 11 cases(55%) and palpable mass in 6 cases (30%), and these classical symptom triad were seen in 3 cases of renal cell carcinoma. 4. Renal angiography was performed in 9 patients with 6 cases of renal cell carcinoma, 1 case of transitional cell carcinoma, 1 case of hemangioma and 1 case of renal cyst. 5. At the time of diagnosis, distant metastasis were found in 2 cases with renal cell carcinoma to lung, spine and Virchow's node. 6. Treatment of renal tumors consisted of surgery, radiation and/or chemotherapy. Radical nephrectomy was performed in 10 cases, simple nephrectomy in 2 cases, nephroureterectomy with bladder cuff resection in 3 cases, renal cystectomy with marsupialization in 3 cases and only diagnosis in 2 cases.