Nephron-sparing surgery.

Current urology reports

Volumn 2, Issue 1, 2001, Pages 34-39

  Ghavamian, Reza ^a   Zincke, Horst ^b  

^a ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^b DEPARTMENT OF UROLOGY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HUMAN; KIDNEY CARCINOMA; KIDNEY TUMOR; NEPHRON; REVIEW;

CARCINOMA, RENAL CELL; HUMANS; KIDNEY NEOPLASMS; NEPHRONS;

EID: 0035248130     PISSN: 15272737     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11934-001-0023-y     Document Type: Review

References (26)

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5. 5. CB Dechet T Sebo G Farrow 1999 Prospective analysis of intraoperative frozen needle biopsy of solid renal masses in adults J Urol 162 1282 1282 10492180 10.1016/S0022-5347(05)68265-1 1:STN:280:DyaK1MvhvF2huw%3D%3D This unique study revealed that under ideal biopsy circumstances, needle biopsy is at best 75% accurate for correct diagnosis of solid renal masses. 22% of biopsies were nondiagnostic. Dechet CB, Sebo T, Farrow G, et al.: Prospective analysis of intraoperative frozen needle biopsy of solid renal masses in adults. J Urol 1999, 162:1282. This unique study revealed that under ideal biopsy circumstances, needle biopsy is at best 75% accurate for correct diagnosis of solid renal masses. 22% of biopsies were nondiagnostic.
6. 6. KS Hafez AC Novick B Butler 1998 Management of small, solitary, unilateral renal cell carcinoma: impact of central versus peripheral tumor location J Urol 159 1156 1156 9507821 10.1016/S0022-5347(01)63537-7 1:STN:280:DyaK1c7mslaguw%3D%3D Hafez KS, Novick AC, Butler B: Management of small, solitary, unilateral renal cell carcinoma: impact of central versus peripheral tumor location. J Urol 1998, 159:1156.
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8. 8. DM Coll RG Uzzo BR Herts 1999 3-dimensional volume rendered computerized tomography for preoperative evaluation and intraoperative treatment of patients undergoing nephron sparing surgery J Urol 161 1097 1097 10081846 10.1016/S0022-5347(01)61599-4 1:STN:280:DyaK1M7nvFyrsQ%3D%3D Coll DM, Uzzo RG, Herts BR, et al.: 3-dimensional volume rendered computerized tomography for preoperative evaluation and intraoperative treatment of patients undergoing nephron sparing surgery. J Urol 1999, 161:1097.
9. 9. BA Kletscher J Qian DG Bostwick 1995 Prospective analysis of multifocality in renal cell carcinoma: influence of histological pattern, grade, number, size, volume and deoxyribonucleic acid ploidy J Urol 153 904 906 7853571 10.1016/S0022-5347(01)67600-6 1:STN:280:DyaK2M7ls1Kluw%3D%3D Kletscher BA, Qian J, Bostwick DG, et al.: Prospective analysis of multifocality in renal cell carcinoma: influence of histological pattern, grade, number, size, volume and deoxyribonucleic acid ploidy. J Urol 1995, 153:904–906.
10. 10. T Kinouchi M Mano S Siaki 1999 Incidence rate of satellite tumors in renal cell carcinoma Cancer 86 2331 2336 10590375 10.1002/(SICI)1097-0142(19991201)86:11<2331::AID-CNCR22>3.0.CO;2-R 1:STN:280:DC%2BD3c%2FlvFGrug%3D%3D Kinouchi T, Mano M, Siaki S, et al.: Incidence rate of satellite tumors in renal cell carcinoma. Cancer 1999, 86:2331–2336.
11. 11. MM Walther IA Lubensky D Venzon 1995 Prevalence of neoplastic lesions in grossly normal renal parenchyma from patients with von Hippel-Lindau disease, patients with sporadic renal cell carcinoma, and no renal disease: clinical implications J Urol 154 2010 2010 7500446 10.1016/S0022-5347(01)66674-6 1:STN:280:DyaK28%2FmvFeisA%3D%3D Walther MM, Lubensky IA, Venzon D, et al.: Prevalence of neoplastic lesions in grossly normal renal parenchyma from patients with von Hippel-Lindau disease, patients with sporadic renal cell carcinoma, and no renal disease: clinical implications. J Urol 1995, 154:2010.
12. 12. DK Ornstien IA Lubensky D Venzon 2000 Prevalence of microscopic tumors in normal appearing renal parenchyma of patients with hereditary papillary renal cancer J Urol 163 431 433 10.1016/S0022-5347(05)67893-7 Each kidney, including the normal appearing parenchyma, in patients with hereditary papillary renal cell carcinomas is estimated to harbor between 1100 and 3400 lesions with histologic features of early neoplasm. Ornstien DK, Lubensky IA, Venzon D, et al.: Prevalence of microscopic tumors in normal appearing renal parenchyma of patients with hereditary papillary renal cancer. J Urol 2000, 163:431–433. Each kidney, including the normal appearing parenchyma, in patients with hereditary papillary renal cell carcinomas is estimated to harbor between 1100 and 3400 lesions with histologic features of early neoplasm.
13. 13. CB Dechet DG Bostwick ML Blute 1999 Renal oncocytoma: multifocality, bilateralism, metachronous tumor development and coexistent renal cell carcinoma J Urol 162 40 42 10379735 10.1097/00005392-199907000-00010 1:STN:280:DyaK1Mzgs1CjsQ%3D%3D This is the largest series of oncocytomas specifically addressing multifocality, bilateralism, coexistence with renal cell carcinoma, and metachronous tumor development. Dechet CB, Bostwick DG, Blute ML, et al.: Renal oncocytoma: multifocality, bilateralism, metachronous tumor development and coexistent renal cell carcinoma. J Urol 1999, 162:40–42. This is the largest series of oncocytomas specifically addressing multifocality, bilateralism, coexistence with renal cell carcinoma, and metachronous tumor development.
14. 14. F Steinbach AC Novick H Zincke 1995 Treatment of renal cell carcinoma in von Hippel Lindau disease: a multicenter study J Urol 153 1812 1816 7752324 10.1016/S0022-5347(01)67318-X 1:STN:280:DyaK2M3ntFOmtQ%3D%3D Steinbach F, Novick AC, Zincke H: Treatment of renal cell carcinoma in von Hippel Lindau disease: a multicenter study. J Urol 1995, 153:1812–1816.
15. 15. MM Walther PL Choyke G Glenn 1999 Renal cancer in families with hereditary renal cancer: prospective analysis of a tumor size threshold for renal parenchymal surgery J Urol 161 1475 1479 10210376 10.1016/S0022-5347(05)68930-6 1:STN:280:DyaK1M3isFWjsw%3D%3D Walther MM, Choyke PL, Glenn G, et al.: Renal cancer in families with hereditary renal cancer: prospective analysis of a tumor size threshold for renal parenchymal surgery. J Urol 1999, 161:1475–1479.
16. 16. CD Poston GS Jaffe IA Lubensky 1994 Characterization of the renal pathology of a familial form of renal cell carcinoma associated with von Hippel Lindau disease: clinical and molecular genetic implications J Urol 153 561 561 Poston CD, Jaffe GS, Lubensky IA: Characterization of the renal pathology of a familial form of renal cell carcinoma associated with von Hippel Lindau disease: clinical and molecular genetic implications. J Urol 1994, 153:561.
17. 17. K Tsui O Shvarts RB Smith 2000 Renal cell carcinoma: prognostic significance of incidentally detected tumors J Urol 163 426 430 10647646 10.1016/S0022-5347(05)67892-5 1:STN:280:DC%2BD3c7ht1WksA%3D%3D Tsui K, Shvarts O, Smith RB, et al.: Renal cell carcinoma: prognostic significance of incidentally detected tumors. J Urol 2000, 163:426–430.
18. 18. MR Licht AC Novick M Goormastic 1994 Nephron sparing surgery in incidental versus suspected renal cell carcinoma J Urol 152 39 42 8201682 1:STN:280:DyaK2c3mtVKitA%3D%3D Licht MR, Novick AC, Goormastic M: Nephron sparing surgery in incidental versus suspected renal cell carcinoma. J Urol 1994, 152:39–42.
19. 19. AF Fergany KS Hafez AC Novick 2000 Long-term results of nephron sparing surgery for localized renal cell carcinoma: 10-year followup J Urol 163 442 445 10647650 10.1016/S0022-5347(05)67896-2 1:STN:280:DC%2BD3c7ht1WktA%3D%3D This is a long-term study from an institution with a large experience on NSS and provides 10-year data suggesting that NSS is effective, providing long-term tumor control with preservation of renal function. Fergany AF, Hafez KS, Novick AC: Long-term results of nephron sparing surgery for localized renal cell carcinoma: 10-year followup. J Urol 2000, 163:442–445. This is a long-term study from an institution with a large experience on NSS and provides 10-year data suggesting that NSS is effective, providing long-term tumor control with preservation of renal function.
20. 20. A Belldegrun K Tsui JB Dekernion RB Smith 1999 Efficacy of nephron-sparing surgery for renal cell carcinoma: analysis based on the new 1997 Tumor-Node-Metastasis staging system J Clin Oncol 17 2868 2875 10561364 1:STN:280:DC%2BD3c%2FjtVSqsQ%3D%3D Another long-term large study that incorporates the new 1997 TNM staging system in its analysis of the efficacy of NSS. Partial nephrectomy was found to be effective treatment for unilateral RCC less than 7 cm (ideally, < 4 cm) in the setting of a normal contralateral kidney. Belldegrun A, Tsui K, Dekernion JB, Smith RB: Efficacy of nephron-sparing surgery for renal cell carcinoma: analysis based on the new 1997 Tumor-Node-Metastasis staging system. J Clin Oncol 1999, 17:2868–2875. Another long-term large study that incorporates the new 1997 TNM staging system in its analysis of the efficacy of NSS. Partial nephrectomy was found to be effective treatment for unilateral RCC less than 7 cm (ideally, < 4 cm) in the setting of a normal contralateral kidney.
21. 21. W Lau ML Blute B Spotts 2000 Matched comparison of radical nephrectomy versus nephron sparing surgery for renal cancer with a normal contralateral kidney: long term followup J Urol 163 681A 681A This important study is unique in that it is a matched comparison of outcome between NSS and radical nephrectomy. In the long-term, NSS is as effective as radical nephrectomy. This is the first study to show that the risk of renal failure in the long run is significantly higher in patients who undergo radical nephrectomy. Lau W, Blute ML, Spotts B, et al.: Matched comparison of radical nephrectomy versus nephron sparing surgery for renal cancer with a normal contralateral kidney: long term followup. J Urol 2000, 163:681A. This important study is unique in that it is a matched comparison of outcome between NSS and radical nephrectomy. In the long-term, NSS is as effective as radical nephrectomy. This is the first study to show that the risk of renal failure in the long run is significantly higher in patients who undergo radical nephrectomy.
22. 22. CB Dechet ML Blute H Zincke 1998 Nephron-preserving surgery for unilateral renal cell carcinoma: which pathologic variables contribute to contralateral renal recurrence? J Urol 159 169A 169A Dechet CB, Blute ML, Zincke H: Nephron-preserving surgery for unilateral renal cell carcinoma: which pathologic variables contribute to contralateral renal recurrence? J Urol 1998, 159:169A.
23. 23. AC Novick G Gephardt B Guz 1991 Long-term followup after partial removal of a solitary kidney N Engl J Med 325 1058 1062 1891007 1:STN:280:DyaK3Mzmslaisg%3D%3D 10.1056/NEJM199110103251502 Novick AC, Gephardt G, Guz B, et al.: Long-term followup after partial removal of a solitary kidney. N Engl J Med 1991, 325:1058–1062.
24. 24. SC Campbell AC Novick 1995 Surgical technique and morbidity of elective partial nephrectomy Semin Urol Oncol 13 281 287 8595552 1:STN:280:DyaK287mslWnug%3D%3D Campbell SC, Novick AC: Surgical technique and morbidity of elective partial nephrectomy. Semin Urol Oncol 1995, 13:281–287.
25. 25. JF Duque KR Loughlin MP O’Leary 1998 Partial nephrectomy: alternative treatment for selected patients with renal cell carcinoma Urology 52 584 590 9763075 10.1016/S0090-4295(98)00380-X 1:STN:280:DyaK1cvjsVSguw%3D%3D Duque JF, Loughlin KR, O’Leary MP, et al.: Partial nephrectomy: alternative treatment for selected patients with renal cell carcinoma. Urology 1998, 52:584–590.
26. 26. KS Hafez AC Novick SC Campbell 1997 Patterns of tumor recurrence and guidelines for followup after nephron sparing surgery for sporadic renal cell carcinoma J Urol 157 2067 2067 9146581 10.1016/S0022-5347(01)64675-5 1:STN:280:DyaK2s3pt1Snsw%3D%3D Hafez KS, Novick AC, Campbell SC: Patterns of tumor recurrence and guidelines for followup after nephron sparing surgery for sporadic renal cell carcinoma. J Urol 1997, 157:2067.