Conservative surgical treatment of renal cell carcinoma. The University of Miami experience.

Norman L Block, Gaetano Ciancio

Research output: Contribution to journalArticle

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Abstract

Thirty-four patients with renal cell carcinoma underwent renal parenchymal-sparing surgery; 10 enucleation (Group A), 15 partial nephrectomy (Group B), and nine a combination of procedures (Group C). Conservative surgery was performed in the presence of normal contralateral unit in four patients (11.7%). Local recurrence (group A = 1, group B = 2, group C = 2) developed in five patients. Metastases appeared in six patients (17.6%) from 12 to 58 months postoperatively. Adequate renal function was obtained in 32 of the 34 patients. Mean follow-up for all patients was 64.6 months overall, 75.6 months from group A, 64.1 months for group B and 53.4 months for group C. The three and five year probabilities of survival for all patients were 77.8% and 69.5% respectively, 80% for group A, 80% for group B and 85% and 57.1% for group C. Enucleation and partial nephrectomy are both viable options in the management of solitary or bilateral renal cell carcinoma. There is no decline ineffective tumor control and prognosis.

Original languageEnglish
Pages (from-to)607-611
Number of pages5
JournalJournal of the Florida Medical Association
Volume82
Issue number9
StatePublished - Sep 1 1995

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Renal Cell Carcinoma
Nephrectomy
Kidney
Conservative Treatment
Neoplasm Metastasis
Recurrence
Survival
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

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Conservative surgical treatment of renal cell carcinoma. The University of Miami experience. / Block, Norman L; Ciancio, Gaetano.

In: Journal of the Florida Medical Association, Vol. 82, No. 9, 01.09.1995, p. 607-611.

Research output: Contribution to journalArticle

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