Das metastasierte Nierenzellkarzinom

Pomer, S.

doi:10.1007/978-3-642-60332-7_9

Cited by 1 publication

(1 citation statement)

References 118 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Es zeigt sich jedoch in vielen Studien, daû die chirurgische Resektion von Metastasen, die simultan mit dem Nierenkarzinom entdeckt werden, eine schlechtere Prognose aufweisen als die Metastasenchirurgie bei längerem rezidivfreien Intervall [3,12,46]. Es zeigt sich jedoch in vielen Studien, daû die chirurgische Resektion von Metastasen, die simultan mit dem Nierenkarzinom entdeckt werden, eine schlechtere Prognose aufweisen als die Metastasenchirurgie bei längerem rezidivfreien Intervall [3,12,46].…”

Section: Nephrektomie Bei Fernmetastasenunclassified

The role of surgery in renal cell carcinoma

Staehler

Brkovic

1999

Urologe

View full text Add to dashboard Cite

Renal cell carcinoma accounts about three percent of all adult neoplasms. This review provides a current status about the surgical management of renal cell carcinoma. In localised carcinomas radical nephrectomy is still the standard treatment and provides 5 Year survival rates up to 98 %. As nephron-sparing surgery in mandatory indications can achieve similar survival doubt can be expressed whether lymphadenectomy or adrenalectomy are necessary in every case. Nephron-sparing surgery is associated with a higher rate of operative complications up to 40 % and probably with a higher risk of local recurrence. However, parenchymal-sparing surgery in elective indications is possible for small tumors, if long term follow up is guaranteed. But there is no convincing advantage of nephron-sparing surgery to recommend this procedure as a general approach in patients with a normal contralateral kidney. Radical surgery in renal carcinomas invading to the vena cava still remains a challenging surgical intervention. Nevertheless, in selected patients surgery can realise long term survival in over a third of cases. Palliative nephrectomy in metastatic renal carcinomas is only justified in real palliative indications (bleeding, pain) or in clinical trials investigating cytoreductive surgery before immunotherapy. In highly selected patients with metastatic renal carcinoma a radical surgical approach including nephrectomy and complete metastasectomy can achieve long term survival.

show abstract

Section: Nephrektomie Bei Fernmetastasenunclassified

The role of surgery in renal cell carcinoma

Staehler

Brkovic

1999

Urologe

View full text Add to dashboard Cite

show abstract

Das metastasierte Nierenzellkarzinom

Cited by 1 publication

References 118 publications

The role of surgery in renal cell carcinoma

The role of surgery in renal cell carcinoma

Contact Info

Product

Resources

About