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Objective: To improve the renal pelvis carcinoma diagnosis and treatment . Materials and Methods : A retrospective analysis of 47 cases of renal pelvis cancer cases clinical data , including clinical manifestations, diagnosis , pathology, surgical procedures and follow-up. Results: The first symptoms of hematuria 46 cases, accounting for 97.9% , of which gross hematuria in 27 cases, accounting for 57.4% ; microscopic hematuria in 19 cases , accounting for 40.5% ; pain hematuria 17 cases , accounting for 36.2% ; lumbago with hydronephrosis 16 cases , accounting for 34.0% ; with stones 5 cases , accounting for 10.6% ; with bladder irritation in 7 patients (14.9%) ; fever five cases , accounting for 10.6% ; there were five cases of lumbar tumor , accounting for 10.6% ; anemia with weight loss 3 cases, 6.4% ; hypertension in 5 cases, 10.6%. Course of 1 month to 5 years (13 ± 4.7 months ) . All patients had imaging tests and imaging studies have positive findings . 47 cases were treated by surgery , anesthesia are used anesthesia . This group of renal pelvis cancer cases 3 -year survival was 65.9% ( 31 / 47 ) , 5-year survival rate was 53.1% ( 24 / 47 ) . The group of simple renal pelvis cancer 5 -year survival rate was 55% ( 22 /40 ) , simultaneous multi-organ cancer 5-year survival rate was 26.7% (2/7), P gt; 0.05. Tumor diameter gt; 2.5cm 5-year survival rate was 38.7% ( 12/ 31 ) , lower than the tumor diameter ≤ 2.5cm by 75% (12/16), P lt; 0.05. Cell fractionation and survival : 5 -year survival rates were G1 100% (6/6), G2 65.2% (15/23), G3 16.7% (3/18), P lt; 0.01. Staging and survival rates were T1 84.6% (11/13), T2 60.0% (12/20), T3-T4 7.1% (1/14), P lt; 0.01. G2, T2 tumors take more radical nephroureterectomy partial cystectomy 5-year survival rate was significantly higher than after lumbar nephrectomy or nephroureterectomy and partial cystectomy were , P lt; 0.05. Conclusions: The clinical manifestations, imaging and pathological findings are mainly based on the diagnosis of carcinoma of renal pelvis . Tumor grade, pathologic stage is to determine the prognostic factors , radical kidney ureter and bladder cuff excision is the treatment like carcinoma of renal pelvis effective method .
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