OBJECTIVES: To study the evolution of renal tumours treated in a single institution over a 2-decade period. MATERIAL AND METHODS: 729 patients surgically treated due to a renal tumour were included in this study. Age at diagnosis, gender, tumour size, TNM stage, percentage (%) of benign tumours, type of treatment, histologic subtype and mode of presentation were compared over 3 periods (1984-1992, 1993-1997, and 1998-2003). RESULTS: During the period of the study, the median tumour size decreased from 7.5 to 6 cm while the rate of nephron-sparing surgery (NSS) increased from 1.6 to 19.6% and from 3.1 to 46.9% in all tumours and in tumours measuring less than 4 cm respectively. In this former group, the percentage of benign tumours increased from 6.3 to 15.2% while the percentage of radical nephrectomies decreased from 100% to 54.2%. CONCLUSION: We are treating today a great amount of small good prognosis renal tumors as well as an increasing percentage of benign tumours. In both cases, expanding the role of NSS will significantly reduce the rate of useless radical nephrectomies.
OBJECTIVES: To study the evolution of renal tumours treated in a single institution over a 2-decade period. MATERIAL AND METHODS: 729 patients surgically treated due to a renal tumour were included in this study. Age at diagnosis, gender, tumour size, TNM stage, percentage (%) of benign tumours, type of treatment, histologic subtype and mode of presentation were compared over 3 periods (1984-1992, 1993-1997, and 1998-2003). RESULTS: During the period of the study, the median tumour size decreased from 7.5 to 6 cm while the rate of nephron-sparing surgery (NSS) increased from 1.6 to 19.6% and from 3.1 to 46.9% in all tumours and in tumours measuring less than 4 cm respectively. In this former group, the percentage of benign tumours increased from 6.3 to 15.2% while the percentage of radical nephrectomies decreased from 100% to 54.2%. CONCLUSION: We are treating today a great amount of small good prognosis renal tumors as well as an increasing percentage of benign tumours. In both cases, expanding the role of NSS will significantly reduce the rate of useless radical nephrectomies.
Authors: Mohammad Ghassem Mohseni; Abdolreza Mohammadi; Amir Said Heshmat; Farid Kosari; Ali Pasha Meysamie Journal: Int Urol Nephrol Date: 2009-05-16 Impact factor: 2.370
Authors: Jin Bong Choi; Byung Il Yoon; Su Jin Kim; Hyuk Jin Cho; Sung-Hoo Hong; Yeong Jin Choi; Sae Woong Kim; Tae-Kon Hwang; Ji Youl Lee Journal: Korean J Urol Date: 2011-02-21
Authors: Sun Il Kim; Yeung Deuk Choi; Se Joong Kim; Byung Ha Chung; Do Hwan Seong; Chun Il Kim; Sang Hyeon Cheon; Jin Seon Cho; Yun Seob Song; Young Sig Kim; In Rae Cho; Dong Hyeon Lee; Ki Hak Song; Hong Sup Kim; Joong Shik Lee; Won Jae Yang; Sung Joon Hong Journal: Yonsei Med J Date: 2008-08-30 Impact factor: 2.759