[Long-term results of endovascular treatment of metastatic renal cell cancer].
The authors analyse the long-term results of treatment of 106 patients with advanced renal cell carcinoma. The patients were divided in two groups. Group 1 (42 patients) included cases with single metastatic lesion. Patients of group 2 (n = 64) had more than one site of metastases. All patients were treated by nephrectomy, embolization with chemotherapeutic agent or arterial occlusion without cytostatic drug except nine patient of group 2, who has undergone chemo and hormonal therapy. The survival according to method at treatment was studies. After occlusion satisfactory results were obtained in cases with single metastasis lesion and also in cases with many sites of metastases. Oily chemoembolization in renal cell carcinoma with distant metastases has given better results as compared with the embolization without chemodrugs. We conclude that endovascular method of treatment is an alternative to the traditional nephrectomy in palliation of renal cell carcinoma.
Granov
A M
AM
Central Research Institute of Roentgenology and Radiology, Ministry of Public Health of Russian Federation, State Hospital No 8 (Oncology), Saint-Petersburg.
Gorelov
A I
AI
Shumskiĭ
I A
IA
Polikarpov
A A
AA
Shkol'nik
M I
MI
Vorob'ev
M I
MI
Karelin
M I
MI
D000328:Adult; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D002292:Carcinoma, Renal Cell / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D016461:Chemoembolization, Therapeutic; D003627:Data Interpretation, Statistical; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009392:Nephrectomy; D010166:Palliative Care; D013997:Time Factors
D018931:Antineoplastic Agents, Hormonal