title: [Renal cell adenocarcinomas. Report of 64 cases].
abstract: The authors report 64 renal cell carcinomas observed in 64 patients over a period of 14 years (1982-1995). The mean age was 58 years (range: 20 to 80 years). Male involvement was observed in 34 cases (53%). The clinical symptoms were nonspecific, consisting of haematuria (26 cases), back pain (33 cases) and tumour (8 cases). Twenty patients presented with paraneoplastic syndromes and 4 presented with metastases. The tumour was an incidental finding in 6 cases. Fifty two patients were treated by radical nephrectomy and two by partial nephrectomy. The tumour was associated with venous involvement in 2 cases, lymphatic involvement in 4 cases and distant metastases in 2 cases. The overall 5-year survival was 37% with a poor prognosis in the case of lymph node involvement or metastases and in the case of secondary local recurrence (4 cases) or distant metastases (2 cases).
authors.affiliation: Service d'Urologie, CHU H. Bourguiba, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Trifa
authors.forename: W
authors.initials: W
authors.lastname: Langar
authors.forename: M
authors.initials: M
authors.lastname: Hadj Slimane
authors.forename: S
authors.initials: S
authors.lastname: Jmel
authors.forename: A
authors.initials: A
authors.lastname: Bahloul
authors.forename: M N
authors.initials: MN
authors.lastname: Mhiri
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy; D011379:Prognosis; D012189:Retrospective Studies; D016019:Survival Analysis