[What may be the waiting time between the diagnosis and surgical treatment of kidney cancer?].
When announcing the diagnosis of renal cell carcinoma, the urologist and the patient can wonder about the waiting time for surgically treating the cancer. This review aimed to investigate the scientific facts to determine the time between the diagnosis of kidney cancer and the achievement of surgically. The natural history of kidney cancer has been the fundamental of the therapeutic management. The time between diagnosis and surgical treatment depends on the conditions under which the diagnosis was established. Patients with symptomatic cancer or discovered at metastatic stage had to be treated quickly. In case of incidental diagnosis, evaluation of tumors has resulted in the selection of patients who can wait several months between diagnosis and surgical treatment of kidney cancer on the condition watchful waiting. The modalities of this assessment, radiological and anatomopathological, must be validated by further studies.
Neuzillet
Y
Y
Service d'urologie, hôpital de la Conception, 147, boulevard Baille, 13005 Marseille, France. yann.neuzillet@orange.fr
Correas
J-M
JM
Escudier
B
B
de Fromont
M
M
Lang
H
H
Long
J-A
JA
Patard
J-J
JJ
Poissonnier
L
L
Mejean
A
A
D001706:Biopsy; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D019317:Evidence-Based Medicine; D006801:Humans; D033162:Incidental Findings; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D009392:Nephrectomy; D011379:Prognosis; D013997:Time Factors; D016896:Treatment Outcome