Evaluation of the natural history of incidental and symptomatic renal-cell carcinoma after radical surgery
https://doi.org/10.17650/1726-9776-2006-2-4-18-24
Abstract
This retrospective study assessed the prognostic value of different clinical and morphological factors of renal-cell carcinoma (RCC) in patients undergoing radical surgery. The paper describes a clinical study of 149 patients operated on in 1997 to 2003. The patients were divided into two groups: a) those with incidental carcinoma and b) those with symptomatic carcinoma. Cancer-specific survival determined by the Kaplan-Meier method. Patients with incidental RCC show a higher cancer-specific survival than those with symptomatic RCC. The asymptomatic course of renal tumor (incidental RCC) has a better prognosis of cancer-specific and relapse-free survival rate.
About the Authors
A. A. Gusev
Rostov State Medical University
Russian Federation
Russian Federation
V. L. Medvedev
Rostov State Medical University
Russian Federation
Russian Federation
A. V. Shangichev
Rostov State Medical University
Russian Federation
Russian Federation
D. G. Pasechnik
Rostov State Medical University
Russian Federation
Russian Federation
M. I. Kogan
Rostov State Medical University
Russian Federation
Russian Federation
References
1. Аляев Ю.Г., Крапивин А.А., Аль Агбар Н.И. «Маленькая» опухоль почки. Урология 2002;(2):3–7.
2. Wehle M.J., Thiel D.D., Petrou S.P. et al. Conservative management of incidental contasrenhancing renal masses as safe alternative to invasive therapy. Urology 2004; 64: 49—52.
3. Vople A., Panzarella T., Rendon R.A. et al. The natural history of incidentally detected small renal masses. Cancer 2004; 100: 738—45.
4. Kassouf W., Aprikian A.G., Laplante M. et al. Natural history of renal masses followed expectantly. J Urol 2004; 171: 111—3.
5. Vallancien G., Torres L.O., Gurfinkel E. et al. Incidental detection of renal tumors by abdominal ultrasonography. Eur Urol 1990; 18: 94—6.
6. Herr H.W. Partial nephrectomy for unilateral renal carcinoma and a normal contralateral kidney: 10-year follow-up. J Urol 1999; 161: 33—5.
7. Whang M., O'Toole K., Bixon R. et al. The incidence of multifocal renal cell carcinoma in patients who are candedates for partial nephrectomy. J Urol 1995; 154: 968—71.
8. Luciani L.G., Cestari R., Tallarigo C. Incidental renal cell carcinoma — age and stage characterization and clinical implications: study of 1092 patients (1982—1997). Urol 2000; 56: 58—62.
9. Gudbjartsson T., Hardarson S., Petursdottir V. et al. Histological subtyping and nuclear grading of renal cell carcinoma and their implication for survival: a retrospective nationwide study of 629 patients. Eur Urol 2005; 48: 593—600.
10. Ficarra V., Righetti R., Pilloni S. et al. Prognostic Factors in Patients with Renal Cell Carcinoma: Retrospective Analysis of 675 Cases. Eur Urol 2002; 41(2): 190—8.
11. Chow W.H., Devesa S.S., Warren J.L. et al. Rising incidence of renal cell cancer in the United States. JAMA 1999; 281: 1628—31.
12. Wunderlich H., Schumann S., Jantitzky V. et al. Increase of renal cell carcinoma incidence in central Europe. Eur Urol 1998; 33: 538—41.
13. Hellsten, Johnsen J., Berge T. et al. Clinically unrecognized renal cell carcinoma: diagnostic and pathological aspects. Eur Urol 1990; 18 (Suppl 2): 2—3.
14. Gudbjartsson T., Einarsson G.V., Magnusson J. A population-based analysis of survival and incidental diagnosing of renal cell carcinoma patients in Iceland, 1971—1990. Scand J Urol Nephrol 1996; 30: 451—5.
15. Tosaka A., Ohya K., Yamada K. et al. Incidence and properties of renal masses and asymptomatic renal cell carcinoma detected by abdominal ultrasonography. J Urol 1990; 144: 1097—9.
16. Mihara S., Nagano K., Kuroda K. et al. Efficacy of ultrasonic mass survey for abdominal cancer. J Med Syst 1998; 22: 55—62.
17. Bretan P.N. Acquired renal cystic disease: is there a need for screening for renal cell carcinoma in patients with renal failure? Sem Urol 1994; 12: 89—92.
18. Konnak J.W., Grossman H.B. Renal cell carcinoma as an incidental finding. J Urol 1985; 134: 1094—6.
19. Гусев А.А., Коган М.И. Пасечник Д.Г. и др. Инцидентальный почечно-клеточный рак. В сб.: Материалы конференции «Онкологическая урология: от научных исследований к клинической практике (современные возможности диагностики и лечения опухолей предстательной железы, мочевого пузыря и почки)». М., МНИОИ им. П.А. Герцена; 2–4 декабря 2004 г. с. 108–9.
20. Jayson M., Sanders H. Increased incidence of serendipitously discovered renal cell carcinoma. Urology 1998; 51:203.
21. Ficarra V., Prayer-Galetti T., Novella G. et al Incidental Detection beyond Pathological Factors as Prognostic Predictor of Renal Cell Carcinoma. Eur Urol 2003; 43(6):663—9.
22. Grove J.S., Nomura A., Severson R.K. et al. The association of blood pressure with cancer incidence in a prospective study. Am J Epidemiol 1991;134(9): 942—7.
Review
For citations:
Gusev A.A., Medvedev V.L., Shangichev A.V., Pasechnik D.G., Kogan M.I. Evaluation of the natural history of incidental and symptomatic renal-cell carcinoma after radical surgery. Cancer Urology. 2006;2(4):18-24. (In Russ.) https://doi.org/10.17650/1726-9776-2006-2-4-18-24
Views:
248
Email this article 