Treatment and overall survival in renal cell carcinoma
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Background: Renal Cell Carcinoma (RCC) is the second cause of mortality from urological malignancies; it accounts for 2-3% of malignancies in adults.
More than 50% of all diagnosed RCCs are in a localized stage.
Partial nephrectomy (PN) has become the golden standard for treating renal masses ≤4 cm.
Objective: To evaluate the management of renal tumors and compare the overall survival for PN and radical nephrectomy (RN) for clinical stage 1 renal tumor patients.
Design: A Retrospective Study.
Setting: Aseer Central Hospital, Saudi Arabia.
Method: All patients who presented with solid renal masses over ten years (2008-2017) were reviewed.
The clinical stage 1 group was divided into two: those who underwent PN and those who underwent RN.
Kaplan-Meier analyses were used to estimate overall survival.
Result: Fifty-three RCC patients with complete data were included in the study.
Flank pain and hematuria were the most common presentations, 24 (45%) and 19 (35%), respectively.
Forty-nine (92%) patients underwent RN while 4 (8%) underwent PN.
Histopathology reports were RCC in 43 (82%) patients and non-RCC malignant tumors in 3 (6%) patients.
Conclusion: Over-treatment of stage 1 RCC with RN was a trend.
An extensive and continuous laparoscopic training for urologists in performing PN is extremely essential in reinforcing surgeon’s expertise.
American Psychological Association (APA)
al-Shyarba, Mashari H. M.& al-Umari, Abd al-Aziz& Asiri, Jabir Madi M.& al-Ahmari, Awad Muhammad A.. 2020. Treatment and overall survival in renal cell carcinoma. Bahrain Medical Bulletin،Vol. 42, no. 2, pp.113-115.
Modern Language Association (MLA)
al-Shyarba, Mashari H. M.…[et al.]. Treatment and overall survival in renal cell carcinoma. Bahrain Medical Bulletin Vol. 42, no. 2 (Jun. 2020), pp.113-115.
American Medical Association (AMA)
al-Shyarba, Mashari H. M.& al-Umari, Abd al-Aziz& Asiri, Jabir Madi M.& al-Ahmari, Awad Muhammad A.. Treatment and overall survival in renal cell carcinoma. Bahrain Medical Bulletin. 2020. Vol. 42, no. 2, pp.113-115.
Includes bibliographical references : p. 115
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