Burger, M. (2017) At what time the surgical Treatment of Metastases in the Renal Cell Carcinoma is indicated and is there a scientific Basis for this? UROLOGE, 56 (5). pp. 617-623. ISSN 0340-2592, 1433-0563
Full text not available from this repository. (Request a copy)Abstract
Metastasis is a common event in renal cell carcinoma. Surgical resection of metastases may be feasible in two scenarios: aiming at palliation, which may be feasible due to reduced radiosensitivity of renal cell cancer, and aiming at prolonging survival, which may be feasible given the rather good prognosis of some patterns of metastasis. This review intends to reflect on current evidence for surgical resection of metastases in both scenarios. The literature was searched in PubMed and respective guidelines were reviewed. Palliative resection is mainly feasible to control symptoms like spinal compression; adjuvant radiation is advisable. Resection is markedly feasible, however, for improvement of cancer-specific survival in probably all resectable patterns of metastasis-solitary, multiple, syn- and metachronous, and in all organs-provided complete resection can be achieved. A fairly good prognosis is seen in solitary pulmonary metastasis without concomitant hilar or mediastinal lymph node metastasis and a metachronous appearance following long recurrence-free survival after tumor nephrectomy; complete resection may be considered curative in certain cases. Neo- or adjuvant medical therapy or radiation is not established. In cases lacking complete resectability, stereotactic radiation may be considered as an alternative.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PANCREATIC METASTASIS; LIVER RESECTION; PRIMARY TUMOR; SURVIVAL; SITES; RADIOTHERAPY; NEPHRECTOMY; EXPERIENCE; FEATURES; THERAPY; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Urologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:10 |
| Last Modified: | 18 Feb 2019 13:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/958 |
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