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Collegium antropologicum, Vol. 38 No. 4, 2014.

Professional paper

Surgical Treatment of Kidney Cancer in Elderly

Anton Maričić ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Stanislav Sotošek ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Dean Markić ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Josip Španjol ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Kristian Krpina ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Dražen Rahelić ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Mauro Materljan ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia

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Abstract

The aim of this study was to analyze our patients over the age of 70 suffering from kidney cancer that had undergone
surgical treatment. During the 2000–2012 period 634 patients with kidney cancer were treated, 197 of whom were over
the age of 70. In this group there were 117 (59.4%) men and 80 (40.6%) women. In most of these patients (156 patients –
79.2%) the clear cell type of renal carcinoma was diagnosed. According to TNM classifi cation the dominant stages were
T1b in 62 patients (31.8%) and T1a in 48 patients (24.6%). The most common grade was G2 (73 patients – 37%). Radical
nephrectomy was performed in 103 (52.3%) patients, simple nephrectomy in 86 patients (43.7%), enucleation of the tumor
and resection of the kidney in 6 (3.1%) patients, while in 2 patients the tumor was inoperable. Early postoperative complications
developed in 21 (10.8%) patients. They included complications in distant organs in 11 (5.6%) patients and surgical
complications in 10 (5.4%) patients. Five patients (2.6%) died during early postoperative period. Surgery is recommended
treatment for elderly patients with kidney cancer with complications comparable with those in younger patients.

Keywords

kidney cancer; clear cell renal carcinoma; radical nephrectomy; postoperative complications; survival

Hrčak ID:

147442

URI

https://hrcak.srce.hr/147442

Publication date:

26.12.2014.

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