audit of renal cell carcinoma at Hyderabad

ABSTRACT

To audit the patients of Renal Cell Carcinoma treated in Surgical Unit-IV, Liaquat University Hospital Jamshoro, Hyderabad. Prospective interventional study conducted from Jan. 2000 to Dec. 2004. Department of Surgery, Liaquat Medical University Hospital, Jamshoro. All patients who presented with Renal Cell Carcinoma during the study period. The history and examination findings of all these patients was recorded. Complete blood picture, urine analysis, liver function tests, ultrasound abdomen, IVU and CT scan was done in all the cases. Staging was done according to the TNM classification and surgery performed in fit patients. A total of 39 cases of Renal Cell Carcinoma were seen during the study period, with a male to female ratio of 3.31 and a mean age of 46 years. Most [61.53%] patients presented with a mass in the abdomen; 51.28% were in Stage-II and 25. 64% in stage-III. Thirty four [87.18%] cases were operated, the rest being unfit. Radical nephrectomy was done in 51.28% cases, simple nepherectomy in 10.26%, debulking surgery in 20.51% and biopsy only in 5.13% cases. Three [8.8%] patients died due to postoperative complications. Radical surgery is the curative treatment for Renal Cell Carcinoma. Cases should be diagnosed early in order to decrease the morbidity and mortality of the disease