Management of renal carcinoma--a questionnaire survey.
Questionnaires on the management of renal carcinoma were returned by 134 British urologists. Analysis revealed that ultrasound is used, as a routine investigation, by 93% of the respondents, whereas abdominal CT scanning is used routinely by only 16%. Renal arterial embolisation is used by 60% of respondents; a further 12% indicated that, having tried the technique, they had given it up. Of 81 surgeons using embolisation, 44% were hopeful that it offered systemic benefit to the patient and 54% delay nephrectomy after embolisation. Regression of metastases following treatment was reported by 58 surgeons. Details of metastatic regression in 60 patients revealed that pulmonary metastases were involved in 83%. Embolisation featured in the management of only 11 such patients.
D004621:Embolization, Therapeutic; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D008175:Lung Neoplasms / Q000556:secondary / Q000628:therapy; D012077:Renal Artery / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography