Chest X-ray in the follow-up of renal cell carcinoma.

Autor: Doornweerd BH; Department of Urology, University Medical Center Groningen, Groningen, The Netherlands, b.h.j.doornweerd@umcg.nl., de Jong IJ, Bergman LM, Ananias HJ
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2014 Aug; Vol. 32 (4), pp. 1015-9. Date of Electronic Publication: 2013 Oct 06.
DOI: 10.1007/s00345-013-1176-2
Abstrakt: Purpose: To evaluate the value of chest X-ray in the follow-up of surgically treated T1-3N0M0 renal cell carcinoma.
Methods: We performed retrospective analysis of patients that underwent surgical treatment of a localized renal cell carcinoma (T1-3N0M0) between January 1993 and July 2010. Data on frequency and results of performed chest X-rays were collected from patients' records.
Results: In 17.5 years, 249 patients with a T1-3N0M0 renal cell carcinoma underwent a radical or partial nephrectomy. In 221 patients, 823 chest X-rays were performed during a median follow-up of 3.3 years (range 0.5-17 years). In 19 patients, a pulmonary recurrence occurred, of which 10 were not detected by the regular follow-up. Of the 9 patients that were diagnosed with a pulmonary recurrence with a chest X-ray during follow-up, 7 were asymptomatic at the time of diagnosis, and the chest X-ray has led to the detection; 0.85 % of the performed chest X-rays (7/823) have led to the detection of asymptomatic lung metastases.
Conclusions: Due to the low yield of chest X-ray for detection of asymptomatic pulmonary recurrences, it has very low clinical value in the follow-up after nephrectomy for T1-3N0M0 renal cell carcinoma.
Databáze: MEDLINE
Externí odkaz: