ABSTRACT
To evaluate survival of patients with renal cell carcinoma postoperatively and the age of discovery. 24 patients were retrospectively included in our study during the last 3 years [2005-2007]. The full history including age, sex, geographic distribution, special habits, exposure to carcinogens and renal disease was assessed for all cases. Clinical examination was performed followed by laboratory and radiological evaluations and CT scan. Midline transperitoneal incision was done in 16 cases, thoraco-abdominal approach in 2 cases because of large upper pole renal mass and a classic fl ank lumber incision with rib resection in 4 cases. Radical nephrectomy was done in all cases except enuclation of a small renal mass less than 4cm in diameter was done for one case. All cases were localized at the time of presentation. All cases showed unilateral renal mass except one patient who had an asynchronous bilateral renal mass. The mean age was 48 years with 10 patients below 45 years. The male to female ratio was 2:1. laterality was equal between right and left sides while the lower pole was affected in 20 cases [83.4%] the upper pole in 4 other cases [16.6%]. The presenting symptoms were dull ache in 8 cases [33.3%] with presentation of gross haematuria in 6 cases [25%] and having a palpable fl ank mass in 6 of them [25%]. However two cases were presenting with paraneoplastic syndrome. Laboratory investigations done were normal apart from the 2 cases of paraneoplastic syndrome.The follow up, done every 3 month in the 1st year and every 6 months in the 2nd year where, 16 cases [66.7%] showed good prognosis for 2 years disease free survival. The other 8 cases showed local recurrence and one of them developed neooccurrence in the contra lateral side 6 months after surgery and died one year later.The Histopathological diagnosis was renal cell carcinoma: 18 conventional RCC, 4 cases were papillary renal cell carcinoma and 2 cases were chromophobe RCC. Renal cell carcinoma occurred in young age group in 41.9% of our patients [below 45 years] but with a good prognosis. Follow up is needed for the new occurrence of renal cell carcinoma in the contra lateral side