A Follow-up Guideline after Radical Nephrectomy for Renal Cell Carcinoma / 대한비뇨기과학회지
Korean Journal of Urology
;
: 1015-1020, 2001.
Article
in Korean
| WPRIM
| ID: wpr-215168
ABSTRACT
PURPOSE:
To establish the stage specific follow-up guideline for renal cell carcinoma (RCC), we evaluated the pattern of metastases and the clinical course of patients who had underwent radical nephrectomy. MATERIALS ANDMETHODS:
We reviewed retrospectively the records of 165 patients who underwent radical nephrectomy with a final pathologic diagnosis of RCC. We compared the time of the first recurrence, the site of metastasis and detection modality according to the pathologic stages.RESULTS:
Metastases were found in 18 patients in an average of 12.9 9.5 months after nephrectomy. None of the 77 patients with pT1 ( or = 5cm), 4 of the 47 patients with pT2 disease and 10 of the 20 patients with pT3 disease.CONCLUSIONS:
The risk of recurrence and metastasis in RCC is stage-dependent. Therefore, a different follow-up guideline should be applied for each stage of RCC after surgical treatment. There is no need for follow-up in patients with pT1 tumors smaller than 5cm. For patients with pT1 tumor larger than 5cm, pT2, pT3 diseases, follow-up studies including history of symptoms, laboratory studies, chest x-ray, and computerized tomography are indicated at defined intervals.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Thorax
/
Carcinoma, Renal Cell
/
Retrospective Studies
/
Follow-Up Studies
/
Diagnosis
/
Neoplasm Metastasis
/
Nephrectomy
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Urology
Year:
2001
Type:
Article
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