Therapy and prognosis of carcinoma of the renal pelvis.
Forty-eight patients with carcinoma of the renal pelvis were treated between 1976 and 1986. 77% (n = 37) underwent nephrectomy; 4% (n = 2) open biopsy; 8% (n = 4) organ-preserving surgery, and 11% (n = 5) were treated conservatively. Major complications associated with the nephrectomies included: hemorrhage (11%); pulmonary embolism (5%); abscess (5%); ileus (5%), and pneumonia (5%). There was no postoperative mortality. Grade-III carcinoma, advanced tumor stage (T4N+M1), and generalized urothelial cancer worsened the prognosis. Such patients might benefit from adjuvant therapy.
Vahlensieck
W
W
Department of Urology, University of Freiburg, FRG.
Sommerkamp
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000628:therapy; D007682:Kidney Pelvis; D008297:Male; D008875:Middle Aged; D011379:Prognosis