Journal Article10.1016/J.CLGC.2017.10.016
Oncologic Outcomes of Partial Nephrectomy for Stage T3a Renal Cell Cancer.
Asaf Shvero,Ofer Nativ,Yasmin Abu-Ghanem,Dorit E Zilberman,Bahouth Zaher,Max Levitt,Eddie Fridman,Orith Portnoy,Jacob Ramon,Zohar A. Dotan +9 more
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TL;DR: The results of the present study have shown similar oncologic outcomes between 48 patients with stage pT3a renal cancer who underwent PN and 86 patients who underwent RN, suggesting that PN can also be considered for these tumors and, thus, avoid the long‐term complications of RN.
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About: This article is published in Clinical Genitourinary Cancer. The article was published on 01 Nov 2017. The article focuses on the topics: Nephrectomy & Renal cell carcinoma.
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Citations
Partial nephrectomy provides equivalent oncologic outcomes and better renal function preservation than radical nephrectomy for pathological T3a renal cell carcinoma: A meta-analysis.
TL;DR: PN may be more suitable for treating pT3a RCC than RN because it provides a similar survival time (OS or RFS) and superior renal function, but this result is still disputed, and more high-quality studies are required.
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Impact of radiological morphology of clinical T1 renal cell carcinoma on the prediction of upstaging to pathological T3.
Jun Teishima,Tetsutaro Hayashi,Hiroyuki Kitano,Kousuke Sadahide,Yohei Sekino,Keisuke Goto,Shogo Inoue,Yukiko Honda,Kazuhiro Sentani,Kazuo Awai,Wataru Yasui,Akio Matsubara +11 more
TL;DR: Evaluation of the radiological morphology of clinical T1 renal cell cancer based on enhanced CT scans is useful for predicting pathological upstaging.
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Computed tomography features predicting aggressiveness of malignant parenchymal renal tumors suitable for partial nephrectomy
Vincenzo Ficarra,Simona Caloggero,Marta Rossanese,Gianluca Giannarini,Alessandro Crestani,Giorgio Ascenti,Giacomo Novara,Francesco Porpiglia +7 more
TL;DR: CT features predicting aggressiveness of malignant parenchymal renal tumors suitable for partial nephrectomy are tumor size, enhancement characteristics, tumor margins and distance between tumor and renal sinus.
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Achieving tumour control when suspecting sinus fat involvement during robot-assisted partial nephrectomy: step-by-step.
TL;DR: A single expert robotic surgeon's step‐by‐step surgical technique for achieving local cancer control during robot‐assisted PN (RAPN) for T3 tumours is reported.
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Partial Versus Radical Nephrectomy: Complexity of Decision-Making and Utility of AUA Guidelines.
Rebecca A. Campbell,Jason M. Scovell,Nityam Rathi,Pedram Aram,Yosuke Yasuda,Venkatesh Krishnamurthi,Mohamed Eltemamy,David S. Goldfarb,Alvin Wee,Jihad H. Kaouk,Christopher J. Weight,Georges-Pascal Haber,Steven C. Campbell +12 more
TL;DR: In this paper , the complexity of decision-making about radical-nephrectomy (RN) over partial-PN (PN) was assessed and the utility of AUA Guidelines statements regarding this issue.
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References
Radical versus partial nephrectomy: effect on overall and noncancer mortality.
Laurent Zini,Paul Perrotte,Umberto Capitanio,Claudio Jeldres,Shahrokh F. Shariat,Elie Antebi,Fred Saad,Jean Jacques Patard,Francesco Montorsi,Pierre I. Karakiewicz +9 more
TL;DR: It is shown that partial nephrectomy performed for renal cell carcinoma (RCC) may protect from non‐cancer‐related deaths and the authors tested this hypothesis in a cohort of PN and RN patients.
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Comparison of outcomes in elective partial vs radical nephrectomy for clear cell renal cell carcinoma of 4-7 cm.
TL;DR: To compare the outcomes of patients who had a elective partial nephrectomy (PN) or radical neph rectomy (RN) for clear cell renal cell carcinoma (RCC) of 4–7 cm, a comparison study is conducted.
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Pathological stage does not alter the prognosis for renal lesions determined to be stage t1 by computerized tomography
William W. Roberts,Sam B. Bhayani,Mohamad E. Allaf,Theresa Y. Chan,Louis R. Kavoussi,Thomas W. Jarrett +5 more
TL;DR: Patients in whom the initial classification of T1 renal cell carcinoma by CT was up graded to T3a on pathological analysis showed the same recurrence-free survival rate as patients with pathologically confirmed T1 lesions, indicating smaller tumors (less than 7 cm) behave much like T1 tumors and exact pathological T staging does not appear to impact overall survival.
89
A New Staging System for Locally Advanced (pT3–4) Renal Cell Carcinoma: A Multicenter European Study Including 2,000 Patients
Vincenzo Ficarra,Antonio Galfano,Francois Guille,Luigi Schips,Jacques Tostain,Arneaud Mejean,Herve Lang,Peter F.A. Mulders,Alexandre de la Taille,Denis Chautard,Jean Luc Descotes,Luca Cindolo,Giacomo Novara,Nathalie Rioux-Leclercq,Filiberto Zattoni,Walter Artibani,Jean Jacques Patard +16 more
TL;DR: The results suggest the necessity of reclassifying locally advanced renal cell carcinoma according to the 3 described prognostic categories and the proposed TNM classification had an independent prognostic value.
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Outcomes of partial nephrectomy for clinical T1b and T2 renal tumors.
TL;DR: Management of T1b and T2 renal masses is transforming with adoption of partial neph rectomy as a safe and feasible surgical option with comparable oncological and improved renal function outcomes compared to radical nephrectomy.
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