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Localized renal tumour, epidemiology, aetiology, surgical treatment, operation techniques and their indications, the role of lymphadenectomy


Authors: P. Filipenský;  P. Řehořek;  Z. Oplatek;  R. Hrabec;  M. Krechlerová
Published in: Urol List 2012; 10(3): 24-28

Overview

Renal adenocarcinomas [1] represent approximately 3% of all malignant tumours detected in adult population. Approximately 20% of patients [2] have metastases at the time of cancer diagnosis. Bilateral renal cancers are present in approximately 10% of patients. Adenocarcinomas occur 1,5times more often in males [2]. The availability of ultrasound examination has led to an increase in diagnostics of clinically asymptomatic renal cancers. It should be noted that early diagnosis and treatment of renal cancer increa­ses the chance of cure. In case the tumour is detected in its early stage the cancer specific survival (CSS) ranges from 79 to 100%. Approximately 85–92% of expansive renal processes are malignant; the most common type is the conventional renal carcinoma (90%). It is primarily growing from the cell of proximal tubule [10]. Renal tumours classification is based on the 2004 TNM classification and pathological classification is based on the 1997 Heidelberg classification of renal neoplasia.

Key words:
kidney tumour, kidney resection, nephrectomy


Sources

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