Management of postoperative complications of renal cell carcinoma

summary

Dad diagnosed renal cancer, since the diagnosis, with complications, has been looking for a better doctor and hospital, now slightly improved, for renal cancer postoperative complications treatment, let me tell you.

Management of postoperative complications of renal cell carcinoma

First: fever: about 10% to 20% of renal cancer patients have fever, which can be low fever with night sweats, moderate fever or high fever; The heat type is intermittent heat (the body temperature suddenly rises to more than 39 ℃, lasts for several hours or longer, then drops to normal, and rises again after more than ten hours or several days intermittently, so it occurs repeatedly or the body temperature is more than 39 ℃, fluctuates greatly, and the temperature difference reaches more than 2 ℃ within 24 hours). The location of renal cell carcinoma is deep, its inherent symptoms are difficult to be recognized in the early stage, and fever is sometimes the only manifestation.

Second: leukocytosis: renal cancer patients are quite prominent, some patients are even several times to more than 10 times of normal people, but there is no other evidence of blood disease.

Third: renal cyst: typical renal cyst is easy to differentiate from renal carcinoma by imaging examination, but when there is hemorrhage or infection in the cyst, it is often misdiagnosed as tumor. However, some clear cell renal carcinomas are homogeneous and weak hypoechoic, which are easy to be misdiagnosed as very common renal cysts. Cloix reported the results of surgical exploration in 32 patients with complex cystic renal masses, 41 of which were renal carcinoma. For benign renal cysts with irregular wall thickening and high central density, it is difficult to differentiate them by any of the above examination methods alone, which often requires comprehensive analysis and judgment. If necessary, puncture biopsy can be conducted under the guidance of B-ultrasound. It is not advisable to give up the follow-up easily or perform the operation rashly.

matters needing attention

The renal artery and vein should be ligated before operation to reduce the bleeding and tumor spread. Renal cell carcinoma (RCC) is a multivessel tumor with large collateral veins. It is easy to bleed and difficult to control. Therefore, selective renal artery embolization can be performed before operation for large tumor, which can cause severe pain, fever, intestinal paralysis, infection and so on.