PTU - Polskie Towarzystwo Urologiczne
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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.


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


kidney, renal cell carcinoma, neoplasma, nephrectomy, prognostic factors


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.
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)
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).