title: [Surgical therapy of metastasizing kidney cancer. A retrospective study].
abstract: This is a report on the therapeutical results in 38 patients with advanced renal cell carcinoma (Robson stage III and IV). We compared: palliative tumour nephrectomy (n = 10), transfemoral embolisation of the tumour or operative occlusion of the renal vessels (n = 6) and tumours which were primarily or secondarily inoperative (n = 22). In Robson stage II 3 out of 8 patients died after palliative nephrectomy and 6 out of 8 patients died after laparotomy. In Robson stage IV 1 out of 2 patients died after palliative nephrectomy, 5 out of 6 patients died after embolisation and 12 out of 14 patients died before or after laparotomy. The 3 year survival rate for patients with a tumour Robson stage III was 3 out of 8 after palliative nephrectomy whereas none of the patients survived after laparotomy, or without operative treatment. In Robson stage IV none of the patients survived after nephrectomy, only 1 survived after embolisation and 1 patient survived without operative treatment for 3 years. The result of this retrospective study shows that tumour nephrectomy is advisable in Robson stage III with only focalised metastasis of the lymph nodes (N1-2), whereas there are no favourable results in Robson stage IV with an advanced metastasis of the lymph nodes.
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D007813:Laparotomy; D008026:Ligation; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000401:mortality; D010166:Palliative Care; D012077:Renal Artery
vernacular_title: Zur operativen Therapie des metastasierenden Nierenkarzinoms. Eine retrospektive Untersuchung.