[Renal cell carcinoma. Significance of prognostic factors & current treatment].
The Authors carried out a literature review on prognostic factors and current management of renal cell carcinoma. A significant factor influencing survival appears to be the extension of the primary tumor (T). The finding of no nodal involvement is not always a favourable prognostic factor if the tumor is no more confined. A perfect knowledge of the prognostic factors may be useful to identify those patients who need post-operative chemotherapy. Surgery is still the treatment of choice for renal cell carcinoma. Extensive lymphadenectomy does not influence long-term survival, nevertheless since there is no additional mortality or morbidity, it is considered useful for a correct staging and a better evaluation of long-term prognosis.
Fiori
E
E
I Cattedra di Patologia Speciale Chirurgica, Università degli Studi La Sapienza, Roma.
Gazzanelli
S
S
Padovani
A
A
De Cesare
A
A
Costanzo
F
F
Cangemi
V
V
Piat
G
G
D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000628:therapy; D011379:Prognosis; D016019:Survival Analysis
Il carcinoma del parenchima renale. Significato dei fattori prognostici ed attuali orientamenti di terapia.