Conservation surgery of renal carcinoma: the EIRSS experience

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 situ in 51 and extracorporeally in 21 kidneys, with a complication rate respectively of 17 and 43%. The 5-year survival...

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Bibliographic Details
Published inBritish journal of urology Vol. 53; no. 6; p. 528
Main Authors Marberger, M, Pugh, R C, Auvert, J, Bertermann, H, Costantini, A, Gammelgaard, P A, Petterson, S, Wickham, J E
Format Journal Article
LanguageEnglish
Published England 01.12.1981
Subjects
Adult
Aged
Creatinine - blood
Female
Humans
Kidney Neoplasms - blood
Kidney Neoplasms - mortality
Kidney Neoplasms - surgery
Male
Middle Aged
Neoplasm Metastasis
Postoperative Complications
Prognosis
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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 situ in 51 and extracorporeally in 21 kidneys, with a complication rate respectively of 17 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 P category, 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.
ISSN:0007-1331