Renal cell carcinoma as an incidental finding

We reviewed the manner of presentation and tumor stage in 56 consecutive patients with renal cell carcinoma treated surgically between 1961 and 1973 (group 1) and compared them to 46 patients treated similarly between 1980 and 1984 (group 2). In group 1, 7 cases (13 per cent) were discovered inciden...

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Bibliographic Details
Published inThe Journal of urology Vol. 134; no. 6; p. 1094
Main Authors Konnak, J W, Grossman, H B
Format Journal Article
LanguageEnglish
Published United States 01.12.1985
Subjects
Adult
Aged
Carcinoma, Renal Cell - diagnosis
Carcinoma, Renal Cell - mortality
Carcinoma, Renal Cell - surgery
Female
Humans
Kidney Neoplasms - diagnosis
Kidney Neoplasms - mortality
Kidney Neoplasms - surgery
Male
Middle Aged
Neoplasm Staging
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Summary:We reviewed the manner of presentation and tumor stage in 56 consecutive patients with renal cell carcinoma treated surgically between 1961 and 1973 (group 1) and compared them to 46 patients treated similarly between 1980 and 1984 (group 2). In group 1, 7 cases (13 per cent) were discovered incidentally compared to 22 cases (48 per cent) in group 2. The tumor stage was lower in the incidentally discovered cases than in cases when the diagnosis was suspected. The 5-year survival rates of the incidental cases in group 1 tended to be better. Routine use of excretory urography, computerized tomography, ultrasound, bone scans and other effective diagnostic studies has led to earlier diagnosis, lower stage and possibly better survival in incidentally found cases of renal cell carcinoma than in cases when the diagnosis was suspected.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)47639-7