title: Surgical treatment of kidney cancer in elderly.
abstract: The aim of this study was to analyze our patients over the age of 70 suffering from kidney cancer that had undergone surgical treatment. During the 2000-2012 period 634 patients with kidney cancer were treated, 197 of whom were over the age of 70. In this group there were 117 (59.4%) men and 80 (40.6%) women. In most of these patients (156 patients--79.2%) the clear cell type of renal carcinoma was diagnosed. According to TNM classification the dominant stages were Tlb in 62 patients (31.8%) and T1a in 48 patients (24.6%). The most common grade was G2 (73 patients--37%). Radical nephrectomy was performed in 103 (52.3%) patients, simple nephrectomy in 86patients (43.7%), enucleation of the tumor and resection of the kidney in 6 (3.1%) patients, while in 2 patients the tumor was inoperable. Early postoperative compli cations developed in 21 (10.8%) patients. They included complications in distant organs in 11 (5.6%) patients and surgical complications in 10 (5.4%) patients. Five patients (2.6%) died during early postoperative period. Surgery is recommended treatment for elderly patients with kidney cancer with complications comparable with those in younger patients.
authors.forename: Anton
authors.initials: A
authors.lastname: Maricić
authors.forename: Stanislav
authors.initials: S
authors.lastname: Sotosek
authors.forename: Dean
authors.initials: D
authors.lastname: Markić
authors.forename: Josip
authors.initials: J
authors.lastname: Spanjol
authors.forename: Kristian
authors.initials: K
authors.lastname: Krpina
authors.forename: Drazen
authors.initials: D
authors.lastname: Rahelić
authors.forename: Mauro
authors.initials: M
authors.lastname: Materljan
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D013514:Surgical Procedures, Operative / Q000009:adverse effects