Incidental vs symptomatic renal tumours: Survival outcomes

Purpose: Currently there is an increase in the incidental diagnosis of renal cell carcinoma (RCC). Our aim was to assess the survival of patients with incidental and symptomatic renal tumours who had undergone nephrectomy. Patients and methods: We retrospectively assessed 604 patients who underwent...

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Bibliographic Details
Published in:Arab Journal of Urology 2011-03, Vol.9 (1), p.17-21
Main Authors: Al-Marhoon, Mohammed S., Osman, Ahmed Mosbah, Kamal, Mohammed M., Shokeir, Ahmed A.
Format: Article
Language:English
Subjects:
cancer-specific survival
CSS
Incidental
Original
Renal cell carcinoma
Survival
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Summary:Purpose: Currently there is an increase in the incidental diagnosis of renal cell carcinoma (RCC). Our aim was to assess the survival of patients with incidental and symptomatic renal tumours who had undergone nephrectomy. Patients and methods: We retrospectively assessed 604 patients who underwent renal surgery for RCC between 1983 and 2005. Patients were divided in two groups; group 1 had incidental and group 2 had symptomatic tumours. The median follow-up was 4 and 3.3 years for groups 1 and 2, respectively. All patients had surgery in the form of radical or partial nephrectomy. Sex, age, tumour size, type of surgery, pathological characteristics and patient survival in both groups were evaluated. The statistical analysis included the log-rank, Kaplan-Meier and Cox regression tests. Results: There were 85 patients (14%) in group 1 (mean age 49.6 years) and 519 (86%) in group 2 (mean age 50 years). The mean (SEM, range) tumour size was 7.4 (0.4, 1.5-20) cm in group 1 and 9.7 (0.2, 2-38) cm in group 2 (P
ISSN:2090-5998
2090-598X
2090-598X
2090-5998
DOI:10.1016/j.aju.2011.03.006