Clinical Observation of Renal Adenocarcinoma

Park, Suck Sahn; Wang, Chong Soon

Abstract

The clinical observation was made on 34 cases of renal adenocarcinoma in Department of Urology, Yonsei University College of Medicine, during the period from 1970 to 1980 (June). 1) Male to female ratio was 1.8:1, and the age distribution showed that the high peak incidence were fifth decade or later. 2)Chief complaints of its patients were palpable mass(64.7%), hematuria(61.8%), and flank pain(35.3%). 3) Left to right ratio of renal adenocarcinoma was 1.6:1, and 57.1% of the cases were developed in the upper portion of kidney, 35.7% in the lower portion, and 7.2% in the middle portion. 4) The cell types of renal adenocarcinoma showed that 75% of all the cases were clear cell type, 20% in granular cell type, and 5% in spindle cell type. The mean weight of nephrectomized kidney with renal adenocarcinoma was 680 gram. 5) The clinical stage coincided with final stage in 73% of all cases, and the accuracy of clinical staging in stage I and stage III was lower. 6) In the stage VI cases of renal adenocarcinoma, 60% of these cases were metastased to lung at the diagnosed period, 50% to bone, 40% to liver and 20% to lymph nodes except the regional area of affected kidney.