6533b7cffe1ef96bd1258e5b

RESEARCH PRODUCT

Conservative Surgery of Renal Carcinoma: The EIRSS Experience

R. C. B. PughH. BertermannP. A. GammelgaardS. PettersonJ. E. A. WickhamJ. AuvertA. CostantiniM. Marbergre

subject

AdultMalePoor prognosismedicine.medical_specialtyUrologySolitary kidneyUnilateral diseasePostoperative ComplicationsHumansMedicineComplication rateNeoplasm MetastasisAgedLymphocytic infiltrationbusiness.industryMiddle AgedPrognosismedicine.diseaseKidney NeoplasmsSurgeryCreatinineFemalebusinessRenal carcinomaClear cellCalcification

description

Summary— Seventy-two patients with renal carcinoma (RC) in a solitary kidney or bilateral synchronous tumours underwent parenchyma-sparing excision of their neoplasms. This was performed in situin 51 and extracorporeally in 21 kidneys, with a complication rate respectively of 1 7 and 43%. The 5-year survival rates were 78% for unilateral disease, 48% for bilateral synchronous and 38% for bilateral asynchronous disease. Survival correlated with Pcategory, grade and diameter of the tumour. Vascular invasion and spindle cells indicated a poor prognosis; the position of the tumour, oncocytic elements, calcification, lymphocytic infiltration or the predominance of clear cell or granular cells did not influence survival.

https://doi.org/10.1111/j.1464-410x.1981.tb03254.x