The cent of explicit malignant tumor expect, is draw up correct treatment project and judgment a patient to prepare behind of prior condition, have count for much clinical meaning.Currently, kidney cancer generally according to TNM cent expect method and Robson to categorize a method to carry on a cent to expect.
TNM cent expects a method:
Tumor(T):
The T0 has no at first a proof of deliver sex tumor.
T1 the tumor be small and suffer from kidney appearance constant, limit at a kidney to wrap inside film
The T1 a tumor the diameter be small in 4 cms;The T1 b tumor the diameter be big at the 4 cms, small in 7 cms.
T2 the tumors be big, suffer from a kidney to transform, but the tumor still limit at a kidney to wrap inside film.
The T3 a tumor invade and kidney week fat.
The T3 b tumor invade and vein.
T4 tumors have already invaded close by organ.
Lymphoid knot(N):
The NX lymphoid knot hasn't transfer and be not willing to settle.
The N0 lymphoid knot transfered.
The N1 is subjected to with the side single lymphoid knot to invade.
N2 several lymphoid knots in districts are invade.
The definitely lymphoid knot has been already fix in N3 Shus.
The N4 close by local area lymphoid knot implicate.
The long range transfer(M):
The MX transfers scope and be not willing to settle.
The M0 has no proof that the distance transfer.
The M1 has distance to transfer.
The M1 a concealment transfer. 
M1 b some 1 transfer.
M1 c some many organses transfer.
M1 d several organs transfer.
Robson cent expects a method:
The Ⅰ tumor limits at a kidney substantial, limit in the kidney the pack the film(the T 1<7 cm N0 M0;The T 2>7 cm N0 M0). 
The Ⅱ pathological changes breaks a kidney to wrap a film into a kidney the fat bag, but tumor still limits in the film of Gerata's Jin(the T3 a N0 M0) for week.
The Ⅲ A tumor infringes upon kidney vein or descends chamber vein(the T3 b N0 M0).
The local area of Ⅲ B lymphoid knot implicate(T1-3 N1 M0). 
The Ⅲ C involves in kidney vein and descends chamber vein, lymphoid knot(the T3 b N1~3 M0) in the meantime. 
The Ⅳ A tumor infringe upon in addition to adrenal glands close to organ(the T1~4 N0~3 M0). 
The Ⅳ B tumor distance transfer(the T1~4 N0~3 M1).
Sunday, 18 May 2008
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