Preoperative C-reactive protein is related with renal cell tumor dimension? Preliminary results.

Autor: Miron A; Department of Urology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Prof. Dr. Theodor Burghele Clinical Hospital, Bucharest, Romania; radadaniel@yahoo.com., Jinga V, Rădăvoi GD, Proca TM, Stan A, Puia D, Pricop C
Jazyk: angličtina
Zdroj: Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie [Rom J Morphol Embryol] 2022 Oct-Dec; Vol. 63 (4), pp. 639-644.
DOI: 10.47162/RJME.63.4.06
Abstrakt: Introduction: Renal tumors do not benefit from an unanimously accepted tumor marker. We tried to evaluate the advantages of preoperative C-reactive protein (CRP) values and monitor the dynamic of CRP values from the perspective of the evolution of patients diagnosed with Grawitz tumors.
Patients, Materials and Methods: We researched the medical records of patients with renal parenchymal tumors admitted to the Urological Clinic in Iaşi, Romania, between 01.01.2018 and 01.08.2022. Data were collected regarding age, environment, comorbidities, paraclinical data, tumor characteristics, and treatment performed. Ninety-six patients were included. The data on the inflammatory syndrome pre- and postoperatively were evaluated comparatively. All patients were diagnosed with clear cell renal cell carcinoma (RCC).
Results: We found that the renal tumor dimension correlates with an increased preoperative CRP level. For other variables, the correlations regarding age, sex, tumor, node, metastasis (TNM) stage, and size in relation to the increase or decrease of CRP had no statistical significance.
Conclusions: The analysis of preoperative CRP and CRP dynamics could predict the tumor's aggressiveness and the treatment's effectiveness. A clear association between CRP levels and RCC pathogenesis is not yet defined, thus, further studies are necessary.
Databáze: MEDLINE