Medicina Fluminensis, Vol. 53 No. 3, 2017.
Professional paper
https://doi.org/10.21860/medflum2017_182962
Incidence, clinical evaluation and surgical treatment of patients with renal cell cancer: 40-years of experience in the University Hospital Rijeka
Dean Markić
orcid.org/0000-0001-5696-0850
; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Romano Oguić
; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Stanislav Sotošek
; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Kristian Krpina
; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Juraj Ahel
; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Mauro Materljan
; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Iva Vrsaljko
; Medicinski fakultet Rijeka, Rijeka, Hrvatska
Josip Španjol
; Klinika za urologiju, KBC Rijeka, Rijeka, Hrvatska
Abstract
Aim: To evaluate incidence, clinical evaluation and surgical treatment of our patients with renal cell cancer (RCC). Patients and methods: We retrospectively analyzed all patients with RCC operated in University Hospital Rijeka from January 1st 1972 to December 31st 2012. Results: In observed period 1045 patients were operated because of RCC. Number of operated patients has increased during time from 5 in the begining of 70-ties to more than 50 in the few last years. The number of asymptomatic patients has increased from 6% to 75%. The mean age was 63 years (range 21-86). Nephrectomy wasperformed in 95.3% patients, nephron sparing surgery in 2.6% and explorative lumbotomy in 2,1% of patients. The 5-year survival was 64% and 10-year survival 47%. Conclusion: The incidence of RCC substantialy increased during time. The new diagnostic methods found RCC in earlier phase and the nephron sparing surgery can be performed without negative influence on oncological outcome.
Keywords
incidence; nephrectomy; partial nephrectomy; renal cell cancer; survival
Hrčak ID:
184849
URI
Publication date:
1.9.2017.
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