Prognostic factors and the assessment of survival patients with renal cell carcinoma after nephrectomy (ten years of own experience)
Article published in Urologia Polska 2003/56/4.

authors

Sławomir Dutkiewicz, Władysław Małek, Alojzy Witeska: Klinika Urologii CSK MSWiA i Centrum Leczniczo-Rehabilitacyjne i Medycyny Pracy ATTIS w Warszawie
Kierownik kliniki: prof. dr hab. Alojzy Witeska
Konsultant ds. urologii: dr hab. Sławomir Dutkiewicz

objectives: The aim of presented study was to assess prognostic factors and postoperative survival patients with renal cell carcinoma (RCC).
materials and methods: Between 1993-2002 yr's underwent nephrectomy total 279 patients including 165 male and 114 female (performed both as radical – 152 and conservative – 127 nephrectomy). An analysis take into consideration pathologic staging of RCC in TNM classification, histopathologic grade (G) and size of the tumor – as a small (I) designat ranging from 10 to 40 mm; as a middle (II) from 40 to 70 mm and as a large (III) above 70 mm with their diameters. An analysis was made too the postoperative survival rate.
results: Right kidney tumor performed 135 and left kidney tumor – 144. As their diameters ranging from 15 to 110 mm: I – 64, II – 156, III – 59. What was stated from T1 to T4 among the treated patients a respectively is a follows: 8%; 49%; 39% and 4% – as well as grading: G1 – 18%, G2 – 72% and G3 – 10%. Between staging, grading and largeness of tumors advantageous correlation was confirm. A survival of 5 years in patients or staging, grading and size of tumor statistically significant differences were stated (a survival of 5 years was observed in 69,9% patients)
conclusion: 1. A both radical and conservative nephrectomy represent a therapeutic same best results.; 2. Survival rates significantly correlated with clinical grading (T1, G1 MO, NO and tumor measuring <40 mm).