Localized renal cell carcinoma management: an update: [review]
Int. braz. j. urol
;
34(6): 676-690, Nov.-Dec. 2008. ilus, graf, tab
Artigo
em Inglês
| LILACS
| ID: lil-505648
ABSTRACT
OBJECTIVE:
To review the current modalities of treatment for localized renal cell carcinoma. MATERIALS ANDMETHODS:
A literature search for keywords renal cell carcinoma, radical nephrectomy, nephron sparing surgery, minimally invasive surgery, and cryoablation was performed for the years 2000 through 2008. The most relevant publications were examined.RESULTS:
New epidemiologic data and current treatment of renal cancer were covered. Concerning the treatment of clinically localized disease, the literature supports the standardization of partial nephrectomy and laparoscopic approaches as therapeutic options with better functional results and oncologic success comparable to standard radical resection. Promising initial results are now available for minimally invasive therapies, such as cryotherapy and radiofrequency ablation. Active surveillance has been reported with acceptable results, including for those who are poor surgical candidates.CONCLUSIONS:
This review covers current advances in radical and conservative treatments of localized kidney cancer. The current status of nephron-sparing surgery, ablative therapies, and active surveillance based on natural history has resulted in great progress in the management of localized renal cell carcinoma.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Carcinoma de Células Renais
/
Neoplasias Renais
Limite:
Humanos
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2008
Tipo de documento:
Artigo
País de afiliação:
França
Instituição/País de afiliação:
Institut Montsouris/FR
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