[Incidental renal cell carcinoma].
| Autor: | Ares Valdés Y; Servicio de Urología, Hospital Universitario Manuel Fajardo, Ciudad de la Habana, Cuba. ares@infomed.sld.cu, Fragas Valdés R |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Archivos espanoles de urologia [Arch Esp Urol] 2005 Jun; Vol. 58 (5), pp. 417-20. |
| DOI: | 10.4321/s0004-06142005000500006 |
| Abstrakt: | Objectives: To report the incidence and management of incidental renal cell carcinoma (RCC). Methods: We performed a retrospective longitudinal and panel study for our case series between January 1990 and December 2003. Thirty cases of RCC were analyzed, 6 of which were incidental. Results: 4 patients were males (66.6%) and 2 females (33.3%); age ranged between 28 and 72 years. Reason for consultation was related with gastrointestinal symptoms. Ultrasound and CT scan are the most useful studies. Clinical stage was 4 T1 (66.6%), 2 T2 (33.3%). 4 radical nephrectomies and 2 conservative surgeries (partial nephrectomy and tumorectomy) were performed. A dose of 3 million units of alpha 2b recombinant interferon (IFN alpha 2b r) was given Intramuscularly two times a week over 6 months. Follow-up ranged between 120 and 60 months and none of the patients had evidence of tumor activity. Conclusions: The incidence of incidental RCC in our hospital is 20%. Clinical stage was always low and survival is directly related to stage. Conservative surgery showed similar survival than radical surgery. |
| Databáze: | MEDLINE |
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