Academic Journal

Isolated loco-regional recurrence after radical nephrectomy for renal cell carcinoma: A study of 22 patients

التفاصيل البيبلوغرافية
العنوان: Isolated loco-regional recurrence after radical nephrectomy for renal cell carcinoma: A study of 22 patients
المؤلفون: Ihab Samy Fayek, Hany Fayez Habashy, Nevine Fayez Habashy
المصدر: Journal of the Egyptian National Cancer Institute, Vol 26, Iss 3, Pp 161-166 (2014)
بيانات النشر: SpringerOpen, 2014.
سنة النشر: 2014
المجموعة: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
مصطلحات موضوعية: Isolated loco-regional recurrence, Radical nephrectomy, Renal cell carcinoma, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
الوصف: Objective: This study aimed to assess prognosis of isolated local recurrence (ILR) of renal cell carcinoma (RCC) after radical nephrectomy (RN). Patients and Methods: This retrospective study involved 22 cases (16 men and 6 women) of ILR from two centers with a mean age of 60.1 ± 8.5 years. All cases were managed surgically. Results: Primary tumors were mainly clear cell carcinoma (n = 17). Nine patients had T3 and T4 tumors. Local recurrence involved mainly the operative bed (n = 17); 4 among them had nodal recurrence as well. The median interval to local recurrence was 13.5 months (7–25 months). Stages T3 and T4 were significantly associated with shorter interval. Complete excision was possible in 9 patients (41%); 8 tumors were irresectable. It was associated with significantly higher overall and median disease-free survival (DFS). Advanced disease stage (p = 0.002) and shorter interval to recurrence (p 15 months. Conclusion: ILR after radical nephrectomy for RCC is more common with more advanced stages, where interval to recurrence tends to be shorter. The management should be surgical, which was possible in nearly 60% of cases. Complete excision was associated with better overall and disease free survival.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1110-0362
Relation: http://www.sciencedirect.com/science/article/pii/S1110036214000417; https://doaj.org/toc/1110-0362
DOI: 10.1016/j.jnci.2014.05.003
URL الوصول: https://doaj.org/article/deb70ab9f79848e5b03a2df19ea33bed
رقم الانضمام: edsdoj.b70ab9f79848e5b03a2df19ea33bed
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:11100362
DOI:10.1016/j.jnci.2014.05.003