Surgical treatment of renal cell carcinoma
Journal Title: Postępy Nauk Medycznych - Year 2012, Vol 25, Issue 4
Abstract
Renal Cell Carcinoma (RCC) derives from various parts of the nephron. The incidence of RCC increases by an average of 2% per year and accounts for 2% to 3% of all adult malignant neoplasms. The implementation of ultrasonography and computed tomography increased the number of fortuitous diagnoses of RCCs which are called Incidental Renal Tumours (IRT). Such tumours are usually smaller than symptomatic ones. Surgical treatment is the best option for the primary tumour. The type of surgical treatment depends of the stage of the tumour. However, the technique of surgical treatment has changed recently. The trend is to decrease the extent and invasiveness of surgery without affecting the oncological safety in patients with localized RCC. On the other hand there is indication for aggressive treatment in patients with locally advanced disease. Tumour nephrectomy is also recommended for metastatic RCC patients with good performance status when combined with IFN – alpha. Complete removal of metastatic lesions or isolated local recurrences after partial nephrectomy or radical nephrectomy contribute to an improvement of clinical prognosis.
Authors and Affiliations
Sebastian Piotrowicz, Jakub Dobruch, Piotr Chłosta, Tomasz Szopiński, Andrzej Borówka
Keywords
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