title: [Renal cancer in adults. Review of 68 cases].
abstract: The authors report a series of 68 cases of renal cancer observed over a 9-year period. Patients consisted of 33 women (49%) and 35 men (51%), with a mean age of 53 years (range: 23-85 years). The clinical features were polymorphic, dominated by loin pain (44%), haematuria (37%), a lumbar mass (19%), alteration of the general state (7%). The diagnosis was established by ultrasonography in 59 patients and CT-scan in 63 patients. The mean tumour diameter was 11 cm (4-22 cm) and two cases presented bilateral tumours. The time to diagnosis ranged from 1 month to 7 years. Staging reflected the advanced stage of the cancer. Treatment was surgical for 58 patients (58%). A lumbar incision was performed, in 40% of cases. Radical nephrectomy was performed in 82%, and partial nephrectomy was performed in 3% of patients. Histological examination of the specimen showed renal cell carcinoma in 75% of cases. The lymph nodes removed were invaded in 20% of cases. The mean follow-up was 29 months (6 to 84 months), normal at one year for 44 patients (86%) and at 5 years for 16 patients (31%). Tumour recurrence in the renal compartment was observed in 2 patients (4%). Asynchronous metastases occurred in 11 patients (21.5%) after 21 months. (range: 12-48 months). The overall 5-year survival was 100% T1, 69% T2 and 50% T3.
authors.affiliation: Service d'Urologie B, Hôpital Ibn Sina, Rabat, Maroc.
authors.forename: S M
authors.initials: SM
authors.lastname: Moudouni
authors.forename: K
authors.initials: K
authors.lastname: Tazi Mokha
authors.forename: M
authors.initials: M
authors.lastname: Nouri
authors.forename: M H
authors.initials: MH
authors.lastname: Lrhorfi
authors.forename: A
authors.initials: A
authors.lastname: Koutani
authors.forename: A
authors.initials: A
authors.lastname: Iben Attya Andaloussi
authors.forename: M
authors.initials: M
authors.lastname: Hachimi
authors.forename: A
authors.initials: A
authors.lastname: Lakrissa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy; D010146:Pain / Q000209:etiology; D012189:Retrospective Studies