[Lumbar radical nephrectomy. A retrospective analysis of 186 cases].
186 cases of nephrectomy for renal cell cancer are studied retrospectively. The overall 5-year survival rate was 77.2%. According to the 4th edition of the "TNM" classification system of UICC the survival rates of patients with T2-(n = 97), T3a (n = 58) and T3b-tumors (n = 25) were 80.9%, 79.3% and 65.6%, respectively. No patient with a stage T4 tumor (n = 6) survived longer than 20 months. The 5-year survival rate of patients with N1-lymph node metastases was 83.3% (n = 8); without lymph node metastases 78.3% (n = 152), respectively. There was no survival longer than 20 months in case of N2-lymph node metastases (n = 13). According to the grading survival rates of 95.4% (G1, n = 46), 71.2% (G2, n = 130) and 71.4% (G3, n = 8) resulted.
Wiedemann
A
A
Urologische Abteilung, Marienhospital Gelsenkirchen.
Holtmann
G
G
Diekmann
W P
WP
Zumbé
J
J
D000328:Adult; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision / Q000379:methods; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000379:methods*; D012189:Retrospective Studies; D015996:Survival Rate