title: [What is the impact of cytoreductive nephrectomy in patients with metastatic renal cell carcinoma?].
abstract: The impact of cytoreductive nephrectomy in patients with metastatic renal cell carcinoma (RCC) is discussed herein with consideration of prolonged survival and quality of life. A nephrectomy can be indicated in a patient with good performance status and pulmonary metastases when adjuvant immunotherapy is an option. In contrast, in a patient with poor performance status and/or metastases including multiple organs, a nephrectomy is not indicated. To relieve symptoms, options other than nephrectomy should be considered.
authors.affiliation: Dept. of Urology, Keio University School of Medicine, 35 Shinano-machi, Shinjuku-ku, Tokyo 160-8582, Japan.
authors.forename: Mototsugu
authors.initials: M
authors.lastname: Oya
authors.forename: Masaru
authors.initials: M
authors.lastname: Murai
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008175:Lung Neoplasms / Q000556:secondary; D009392:Nephrectomy / Q000379:methods*; D011379:Prognosis; D011788:Quality of Life