[A critical study of the prognosis of renal adenocarcinoma and an attempted classification. Apropos of a series of 322 cases].
The prognosis of adult renal adenocarcinoma was evaluated by analyzing 322 cases treated by extensive nephrectomy (1979-1988). Five-year actuarial survival curves showed that prognosis was closely correlated with anatomic spread: no clear prognostic significance could be ascribed to venous invasion but involvement of retroperitoneal lymph nodes proved to be nearly as negative a prognostic factor as metastatic disease. The grade of malignancy also had a major impact on prognosis. Because the TNM classification, although accurate, is difficult to use and relies solely on descriptive data, a simple five-stage classification is proposed but remains to be validated. The classification system advocated by Robson groups stages with very different outcomes and consequently seems unhelpful.
Brucher
P
P
Service d'Urologie, Groupe Hospitalier Pellegrin-Tripode, Bordeaux.
Brunier
G
G
Ferrière
J M
JM
Le Guillou
M
M
D000230:Adenocarcinoma / Q000145:classification / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000145:classification / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000401:mortality; D011379:Prognosis; D015996:Survival Rate
Etude critique du pronostic de l'adénocarcinome rénal et essai de classification. A propos d'une série de 322 dossiers.