[Renal carcinoma in Silesian macroregion].
Renal carcinoma is the third most frequent neoplasm of urinary system. There is 3500 cases of this neoplasm in Poland per year. Basic treatment includes surgery. Assessment of renal-cell carcinoma occurrence in Silesian and Opole voivodeship. Inquiry was sent to 20 urological departments. Data including patients treated in year 2000 number of treated patients, age, sex, tumor location and size, number and mode of operations, as well as histopathological examination were taken into consideration. Population of studiend region represents 15.4% of Polish population. Neoplasms of urinary tract equal 19.2% hospitalizations and renal carcinoma 3.1%. 690 patients /259 F, 431 M/ with renal carcinoma were treated Among treated, there were; 1 patient under 30, 121 aged 30 to 50, 568 over 50. Renal carcinoma occurred in 329, 350 and 11 cases on the right, on the left and bilaterally, respectively 625 patients underwent surgery and 65 were disqualified because of poor general state and progression of disease 589 radical nephrectomies and 36 conservative operations were performed; 386 achieved by retroperitoneal and 239 intraperitoneal access. In 277 cases tumor size <5 cm, in 413 >5 cm. In 550 cases histopathological grade was assessed; G1--168 cases, G2--292 cases, G3--90 cases. Histopathological examination of lymph nodes was performed in 388 patients and metastases were found in 64 patients. 49 patients were assigned to immunotherapy.


CONCLUSIONS
(1) frequency of renal carcinoma occurrenceis is equal in both voivodeships. (2) renal carcinoma incidence in regional populations is almost twofold higher in men. (3) limited spectrum of histopathological examinations influences results assessment and treatment prognosis.
Paradysz
Andrzej
A
Katedry i Kliniki Urologii w Zabrzu Slaskiej Akademii Medycznej w Katowicach. parady@poczta.onet.pl
Krauze-Balwińiska
Zofia
Z
Fryczkowski
Mieczysław
M
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007221:Industry; D007680:Kidney Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000145:classification / Q000706:statistics & numerical data; D011044:Poland / Q000453:epidemiology; D015995:Prevalence; D012424:Rural Population; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D014505:Urban Population