The treatment of kidney cancer is mainly a surgical operation cuts off, project treatment, the chemistry effect disregards, such as treatment and immunity treatment...etc. to think, as well not affirmative, have the statistics kidney the cancer match to put to treat to have no influence towards existing for 5 years.
1.Kidney cancer surgical operation
Is divided into pure sex kidney cancer resection and cure for good sex kidney cancer resection, generally accepted currently is cure for good sex kidney cancer resection can raise an existence rate.Cure for good sex kidney cancer resection to include the kidney surroundings Jin film and its contents:The kidney surroundings fat, kidney and adrenal glands.Concerning cure for good whether sex kidney cancer resection carries on partial lymphoid close account to sweep still have been already disputed, have of think that the lymphoid knot usually had the blood line the case that transfer, there is lymph transfering to all finally appear a blood line to transfer while transfering, the lymphoid knot distributes widely, the not easy clearance is clean;But as well someone thinks, the lymphoid knot transfers mainly in the neighborhood of hilum of kidney;Descend chamber vein and aorta area, can cure for good sex excision, but cure for good sex lymphoid close account and sweep a surgical operation detection have already transfered a cooking stove, if hardly there is existence, is for longer than 5 years.Kidney cancer surgical operation should fight for ligaturing kidney artery and kidney vein first, can reduce to bleed in the surgical operation and the possible causable tumor spread.The kidney cancer is a much afferent tumor and often have a big side vein, the surgical operation easily bleed, and doesn't easily control.Therefore, in bigger tumor surgical operation, can go forward to go a selectivity kidney artery to bolt to fill in the Shu can cause violent ache, have fever, the bowel paralyze, infection etc., not in response to the normal regulations is applied.
The special problem of kidney cancer under medical treatment:
(1)reserve the kidney cancer of kidney organization surgical operation:Reserve the kidney cancer of kidney organization surgical operation such as double side kidney cancer or the isolation kidney kidney cancer, and to side kidney function not good such as the kidney afferent sex high blood pressure, kidney stone calculus, kidney tubercle and pelvis urethra connect the place is narrow.The kidney cancer is namely smaller<3 cm the diameter is also located on a kidney edge of may also consideration reserve kidney organization surgical operation, surgical operation method is parts of kidney resections, may also stab tumor.
(2)descend chamber vein the cancer bolt:The kidney cancer easily takes place kidney vein and the bottom chamber cancer inside the vein to bolt and thinks in recent years, such as don't discover part or distance proliferation, the kidney cancer could cut off a cancer inside the vein to bolt or take out in the meantime while curing for good resection the chamber cancer inside the vein bolt, still good after preparing.Surgical operation stop the chamber vein should bolt level in the blood above, can keep fatal lung from bolting to fill.If the blood bolts to extend heart, can wrap in the heart inside under the chamber vein stop and cut open again chamber vein, take out to bolt son.
(3)kidney cancer the part spread to infringe upon close by organization and dirty machine:This is the tough problem of kidney cancer under medical treatment.The surgical operation thoroughly cuts off tumor to implicate with it of the organization is the only method that can cure, this patient's survival in 5 years however 5%.The kidney cancer part proliferation can the companion contain ache, because the tumor invades behind stomach wall, the muscle of Mao Ji and nerve root.Kidney cancer directly and gradually the liver is less and transfer inside the liver is more than directly and gradually.12 bowels and pancreas implicate several have no may cure.Although there is a distance transfering, as long as surgical operation may, majority can still will be taken bad kidney excision at first and transfered a focus it is still possible to acquire very and longly saved to cure a rate, take off in addition to the kidney of disease after, blood in urine and ache was as well cleaned, was still worth.
2.The immunity cures
Many in the last yearses have been already proven the human body lymphoid cell inside the solid sex tumor as to it's the tumor cell contains immunity reaction, but this kind of tumor gradually lymphoid cell(TIL) to from the cell poisonous function of body tumor usually lower, because of there is low-key mechanism in the tumor, this kind of TIL cell needs incitement outside the body and expands and makes of to well develop the cell poisonous function from the body tumor.The lymphoid cell of normal mankind and white lie vegetable 2(IL-2) developments to produce effect cell to be called lymphoid factor to activate to kill to harm cell namely LAK cell.A set of LAK cell and IL-2 cure a kidney cancer 57;The cell of LAK+example IL-236, pure example IL-221, LAK cell+the set IL-2 completely alleviate(CR)4, the part alleviates(PR) 8, efficient 12/36(33%).Set IL-2 only l/21 example CR.The tumor gradually lymphoid cell namely TIL cell may also expand with the IL-2 outside the body, test and discover this kind of adopting in the animal sexual of turning and moving TIL, its treatment effect compare LAK the cell is strong 50 times~10000%, and can break transfering of its lung and liver cooking stove.The possibility of its clinical application still in the study.
3.The chemistry cures
The chemotherapy of kidney cancer is ineffective, the list is cured effect with the medicine worse.The expert statisticses the single medicine treatment kidney cancer of 37 kinds of chemotherapy medicine to turn 1 to have better effect by alkane among them.Unite the curative effect in the chemotherapy better combination is:The long spring spends alkali+ammonia A Die purine+Bo vegetables the mildewed is plain+Tamoxifem testicle;The long spring new alkali+ the mildewed is plain+BCG+A radicle acetaldehyde oxygen before the Yun Tong;The long spring spends alkali+ mildewed vegetable+Qian radicle Mao+MA.In fine many medicine treatments surpass a single medicine.
4.Immunity treatment and chemotherapy combine
A set of 957 kidney cancers transfers ±the kidney cancer relapse application+the Rao plain AN A LPHA-2 treatment, the list is used efficient 12%, such as with long spring flower the alkali merge to cure, then efficient 24%.Effective 2 years possible survival is 50%~70%, invalid exist 10%~15%, ideal quantity for interferon 1,800,000 unit skin the bottom or muscle inject, every week 3 times, long the spring flower alkali 0.1 mgs/kg intravenous injection, 3 Monday time.
5.The living creature gene cures
Currently the best living creature of nations gene medicine is-"Qian radicle its inside is rather", to kidney cancer accurate curative effect, the fresh fruit shows Zhao.
The treatment method of kidney cancer
3.13.2009
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