Breyer, Johannes and Otto, Wolfgang and Lausenmeyer, Eva Maria and Denzinger, Stefan and Schwientek, Ann-Kathrin and Ochs, Ludwig and Mayr, Roman and Gierth, Michael and Bruendl, Johannes and Burger, Maximilian and Evert, Matthias and Fritsche, Hans-Martin and Eichelberg, Christian (2017) Clinical and pathological prognostic factors for the long-term survival of patients with pT1 renal cell carcinoma. AKTUELLE UROLOGIE, 48 (3). pp. 230-237. ISSN 0001-7868, 1438-8820
Full text not available from this repository. (Request a copy)Abstract
Introduction The incidence of renal cell carcinoma (RCC) has been increasing over the past few decades. Simultaneously, due to improved imaging, small renal masses at stage pT1 have been diagnosed more frequently. However, it is known that even small RCCs may recur and metastasize at a late point of time. This study aimed to identify easy-to-assess clinical and histopathological prognostic markers for long-term survival. Patients/Methods We performed a retrospective analysis of patients who underwent surgical treatment of a pT1 RCC in a single centre between 1993 and 2007. The prognostic impact of clinical and histopathological parameters was investigated regarding recurrence-free survival (RFS), cancer-specific survival (CSS) and overall survival (OS). Univariate Kaplan-Meier analysis and multivariate Cox regression analysis were performed using SPSS 23. Results Overall, 571 patients were included with a median follow-up of 111 months. Univariate analysis revealed that higher grading (p = 0.031) and stage pT1b (p < 0.001) were statistically significantly associated with worse RFS. Likewise, stage pT1b (p = 0.001) and grading G2/3 (p = 0.019) were significantly associated with shorter CSS. Multivariate analysis revealed that stage pT1b was the only predictor for reduced RFS (p = 0.001) and CSS (p = 0.009). Total nephrectomy (p = 0.024), and diabetes (p < 0.001) were significantly associated with reduced OS. Multivariate analysis revealed that multifocal tumours (p = 0.041) and diabetes (p < 0.001) were the best predictive factors for OS. Conclusion The identified prognostic parameters may help to provide a risk-adapted after follow-up for patients with small renal tumours.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NEPHRON SPARING SURGERY; NEPHRECTOMY; GUIDELINES; OUTCOMES; CANCER; SYSTEM; TUMORS; SCORE; RATS; renal cell carcinoma; stage pT1; survival; prognosis; small renal mass |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Pathologie Medicine > Lehrstuhl für Urologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:10 |
| Last Modified: | 26 Feb 2019 07:43 |
| URI: | https://pred.uni-regensburg.de/id/eprint/909 |
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