Partial nephrectomy for unilateral renal carcinoma and a normal contralateral kidney: 10-year followup.
OBJECTIVE
The long-term results of partial nephrectomy for unilateral renal tumors in patients with a normal contralateral kidney are presented.


METHODS
A total of 70 patients with incidentally discovered renal carcinoma underwent partial nephrectomy between 1979 and 1997. End points were local recurrence-free and disease-free survival.


RESULTS
Median followup was 10 years (range 1 to 19). Of the 70 patients 69 (98.5%) had no local recurrence and 68 (97%) survived free of metastasis. Overall survival was 93%. Two patients died of metastatic kidney cancer and 3 died of other causes. Average tumor size was 3 cm. and most lesions (94%) were stage T1 or T2.


CONCLUSIONS
Partial nephrectomy achieves the long-term local control and cure of small renal tumors in patients with a normal contralateral kidney.
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
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D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D013997:Time Factors