Surgery of the Primary Tumor of Metastasizing Renal Carcinoma

Abstract

40% or 116 of 350 patients with renal carcinoma had distant metastases at the time of hospital admissio (M₁, N_0-4). Women fell ill less often than men did (3:7). 82 of 116 patients (71 %) received nephrectomy primarily Lethality within the first 30 days was 6%. Patients with nephrectomy survived longer than those without, women witl nephrectomy survived longer than men. Patients with a grade II tumor survived longer than those with a grade III tumor. Palliative nephrectomy can therefore be recommended as treatment of choice, if the general condition of the patient allows it, the more so as there are no alternative ways of treatment.

Metastasis to the larynx revealing a renal cell carcinoma

“…Long survival has been reported in two other cases (Chamberlain, 1966;Glanz and Kleinsasser. 1978) and the patient of Glanz and Kleinsasser (1978) was alive and well at 12 years (Glanz, 1985) The palliative nephrectomy in metastasizing renal cell carcinoma can prolong life expectancy up to 3 years after operation (Jonas et al ., 1984). Regression of pulmonary metastases following nephrectomy has been reported (Garfield and Kennedy, 1972;Fairlamb, 1981).…”

Autologous Anticancer Antigen Preparation for Specific Immunotherapy in Advanced Renal Cell Carcinoma

“…Table IV. The results of active, specific immunotherapy in met astatic renal cell carcinoma Approximately 40% of the new patients with renal carcinoma will have radiographic evidence of métastasés at the time of presentation [21]. Whereas an aggressive approach to an apparently solitary metastasis seems jus tified and radical nephrectomy can be performed in those patients together with surgical removal of their sol itary metastasis, considerable individualization is re quired in the management of patients presenting with evidence of multiple métastasés.…”