Renal pelvic cancer: A review of 611 patients treated in Illinois 1975–1985

Guinan, Patrick; Vogelzang, Nicholas J.; Randazzo, Randal; Sener, Stephen F.; Chmiel, Joan S.; Fremgen, Amy; Sylvester, JoAnne

doi:10.1016/0090-4295(92)90450-b

Cited by 109 publications

(69 citation statements)

References 27 publications

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“…4,5,12,15 Guinan et al, who reported the largest published series of >600 patients who were treated in Illinois, observed that the 5-year cancer-specific survival probabilities were 75% for patients with Ta/tumor in situ (Tis) tumors, 87% for patients with T1 and T2 tumors, 54% for patients with T3 tumors, and 19% for T4 patients. 5 More recently, Hall et al reported 5-year cancer-specific survival probabilities of 100% for patients with Ta/Tis tumors, 92% for patients with T1 tumors, 73% for patients with T2 tumors, and 41% for patients with T3 tumors. 4 With regard to histologic grade, data from the literature indicate 5-year cancer-specific survival probabilities in the range from 80% to 100% for patients with grade 1 UUT-TCC, from 33% to 94% for patients with grade 2 UUT-TCC, and from 11% to 40% for patients with grade 3 UUT-TCC.…”

Section: Discussionmentioning

confidence: 99%

“…3 The knowledge of prognostic factors for UUT-TCC often is based on studies on the most common bladder TCC, and only a few studies on prognostic factors for UUT-TCC have been published to date, and those sometimes have reported conflicting data. Tumor stage [4][5][6][7][8][9][10][11] and histologic grade 7,11,12 are among the best established prognostic factors; whereas, conversely, the roles of other potentially relevant variables, such as a history of bladder cancer, tumor site, lymphovascular invasion, or multifocality, are less clear. [6][7][8]10,11 A clear knowledge of those prognostic data would be useful for counseling patients after surgery and for identifying those patients with unfavorable cancer-related outcome who may be candidates for future neoadjuvant or adjuvant randomized controlled trials.…”

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confidence: 99%

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Independent predictors of cancer‐specific survival in transitional cell carcinoma of the upper urinary tract

Novara

Marco

Gottardo

et al. 2007

Cancer

175

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Sulfonation degree determination of sulfonated polystyrene and the corresponding ionomers are performed by adiabatic bomb calorimeter. The theoretical calculations from the band energies for the combustion enthalpy values (calorific values) and the experimental values are compared, and a linear relation between the values is found. Sulfonation and neutralization processes are examined by elemental sulfur analysis and atomic absorption spectroscopy (AAS). It was obvious that increasing sulfonation degree yields a decrease in the combustion enthalpy values, as it is expected from the theoretical calculations. In addition, metal ion incorporation to the structure deviates the experimental combustion enthalpy values especially for the ionomers which have higher sulfonation degrees. This is due to the formation of a higher degree aggregation. © Wiley Periodicals, Inc. J Appl Polym Sci 100: 4684–4688, 2006

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Independent predictors of cancer‐specific survival in transitional cell carcinoma of the upper urinary tract

Novara

Marco

Gottardo

et al. 2007

Cancer

175

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“…7 Our patient's UC was pathologically high grade and a pT3 lesion, with involvement of renal sinus fat via invasion through muscle. A renal pelvic location has improved survival in UC versus a ureteral primary, 8,9 though Holmang and Johansson 10 have suggested only 25% survival in high-grade pT3 upper tract UC. The UC was likely the more ominous primary lesion in this patient.…”

Section: Leveridge Et Almentioning

confidence: 99%

Synchronous ipsilateral renal cell carcinoma and urothelial carcinoma of the renal pelvis

Leveridge

Isotalo

Boag

et al. 2013

CUAJ

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Renal cell carcinoma (RCC) and urothelial carcinoma of the upper urinary tract are not uncommon urological malignancies. Their simultaneous occurrence in a patient is, however, extraordinarily rare. We report the case of a patient who underwent laparoscopic nephrectomy for suspected RCC. Preoperative imaging was suspicious for renal pelvic involvement, which was confirmed upon bivalving the fresh specimen at the time of surgery, with the discovery of a separate urothelium-based lesion. We discuss this rare occurrence and our management approach. RésuméIndividuellement, l'hypernéphrome et le carcinome urothélial des voies urinaires supérieures ne sont pas des tumeurs urologiques rares. Leur survenue simultanée chez un même patient est cependant extrêmement rare. La reconnaissance préopératoire ou intraopératoire est cruciale afin que soit effectuée la résection urétérale requise. Nous décrivons un cas d'hypernéphrome et de carcinome urothélial simultanés et homolatéraux.Can Urol Assoc J 2009;3(1): Subsequent investigations included urine cytology, which was atypical but not diagnostic for malignancy, normal cystoscopy and normal blood work, including liver studies and calcium. A computed tomography (CT) scan confirmed the presence of a 5.5-cm solid mass on the anterior aspect of the upper pole of the right kidney (Fig. 1). Renal vein, lymph nodes and contralateral kidney were normal. Delayed views of the collecting system were suspicious for protrusion or extension of the mass into the renal pelvis (Fig. 2). The working diagnosis based on imaging studies was RCC with invasion into the collecting system.The patient was eager for definitive management of her renal mass, and so was scheduled for laparoscopic right radical nephrectomy, which was performed uneventfully. Titanium clips were placed on the distal ureter in close approximation before cutting, and there was no spillage of urine. The operating surgeon accompanied the gross specimen to the pathology department and requested that it be bivalved immediately, based on the atypical cytology and the suggestion of possible renal pelvic extension of the mass.Upon opening the kidney, it was clear that there were 2 geographically and morphologically distinct masses in the kidney: a 5.5-cm mass corresponding clearly to the radiographic lesion, and a 2.5-cm papillary mass in the superior aspect of the renal pelvis (Fig. 3). Intraoperative frozen section of the papillary mass confirmed a UC of the renal pelvis. The surgical team was alerted, and the patient's Pfannenstiel incision was extended to allow a right ureterectomy to be performed.Final pathology confirmed the presence of 2 distinct malignancies. A cortical RCC of primarily clear cell histology was present, with Fuhrman nuclear grade 3 of 4, and no invasion of the renal capsule (Fig. 4). There was, however, microscopic invasion of a medium-sized renal vein. The second tumour was a high-grade UC with invasion through the muscularis propria of the renal pelvis and extension into renal sinus fat (Fig. 5). ...

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“…Data on distribution of stage and grade at initial presentation indicate that most patients present with a low stage (Ta-T1) grade 2 or 3 tumour [1,[6][7][8][9]. Stage and grade are the most important prognostic factors for recurrence and survival [7][8][9][10][11], but type of treatment [7] and multifocality [8,12], have also been reported to be important, to a variable extent.…”

Section: Introductionmentioning

confidence: 99%

Trends in epidemiology and treatment of upper urinary tract tumours in the Netherlands 1995–2005: an analysis of PALGA, the Dutch national histopathology registry

et al. 2010

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the next year, of cancer of the renal pelvis or ureter during the period 1995-2005, were included. The number of surgically treated UUT tumours per year, type of treatment and tumour characteristics were recorded. RESULTSThe population consisted of 2321 (67%) men and 1145 (33%) women with a mean age of 68.6 years. The distribution according to side was similar (left 44.1%, right 41.5%), bilateral tumours were rare (0.6%) and most tumours were in the renal pelvis (51.3%). Both the incidence and the incidence rate per 100 000 person-years increased during the study period ( P < 0.001). Most urothelial cancers were grade 2 (40.9%) or 3 (41.2%) and stage Ta (30.6%), T1 (18.1%) or T3 (22.8%). There was an increase in grade 3 ( P = 0.003) and muscle-invasive ( P = 0.003) tumours in men only. Nephroureterectomy was performed in 41.3% of the cases and there was an increasing trend to endoscopic surgery ( P = 0.019), although the absolute number was low. CONCLUSION

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Renal pelvic cancer: A review of 611 patients treated in Illinois 1975–1985

Cited by 109 publications

References 27 publications

Independent predictors of cancer‐specific survival in transitional cell carcinoma of the upper urinary tract

Independent predictors of cancer‐specific survival in transitional cell carcinoma of the upper urinary tract

Synchronous ipsilateral renal cell carcinoma and urothelial carcinoma of the renal pelvis

Trends in epidemiology and treatment of upper urinary tract tumours in the Netherlands 1995–2005: an analysis of PALGA, the Dutch national histopathology registry

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