[Long-term prognosis of kidney cancer with vena cava thrombus. Report of 30 cases].
The authors present a retrospective analysis of 30 cases of renal cancer with vena cava thrombus with a sufficient follow-up to allow analysis of the long-term prognosis. Only three patients are still alive with a follow-up of 12, 34 and 57 months. The actuarial survival for the overall population was 55%, 37% and 22% at 1, 2 and 3 years respectively. Three essential factors influenced the prognosis of these patients: the presence of distant metastases, lymph node invasion and the highest cephalic level of extension of the thrombus. Renal cancer with vena cava thrombus without metastases and without lymph node involvement has a good prognosis (100% 2-year survival), but is very rare (4 out of 30 cases), so that renal cancer with vena cava thrombus must be considered to be a serious disease (3 survivors out of 30).
Poussot
D
D
Hôpital du Tondu, Centre Hospitalier Pellegrin, Bordeaux.
Ballanger
P
P
D000206:Actuarial Analysis; D000368:Aged; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D011379:Prognosis; D012189:Retrospective Studies; D013997:Time Factors; D014682:Vena Cava, Inferior
Pronostic à long terme des cancers du rein avec thrombus cave. A propos de 30 cas.