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Okwu N, Gooneratne S, Piedad J, Akhtar M. 915 Post-Nephrectomy Recurrence Rates in T3 Renal Cell Carcinoma Over A 10-Year Period. Br J Surg 2021. [DOI: 10.1093/bjs/znab134.509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
The objective of the study was to estimate the post-nephrectomy recurrence rate and assess practice around peri-op investigation and treatment.
Method
Imaging, histopathology, and clinical data were gathered using electronic and paper medical records of patients who underwent nephrectomy for T3 RCC. Recurrence defined as local recurrence.
Results
Fifty-one patients with T3 RCC were identified, 74.5% of whom were male with a median age 71 (range 45-91).
One-third had metastatic disease. The majority (96.0%) underwent radical nephrectomy with adrenalectomy (49.0%) and lymph node dissection (19.6%).
Clear cell RCC was the main histopathological type (92.2%) with chromophobe making up 3.9%.
At year one there was recurrence in 20.0% of patients at a median time of 5months (range 1-10, 90.0% grade 3, 10% grade 4).
At year five recurrence was identified in 16.7% in a median time 50months (range 41-56; 50% grade 2 and 3 each).
Ten-year follow-up identified recurrence in 85.7% at a median time 64.5 months (range 62-91; 50% grade 2 and 3 each) with the remaining patient developing jejunal metastatic recurrence in 168 months.
Adjuvant treatment was administered in 57.1%.
Conclusions
Establishing the right time to follow-up patients especially males, 17 months median recurrence time with the most frequently occurring was clear cell RCC.
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Affiliation(s)
- N Okwu
- Hereford County Hospital, Hereford, United Kingdom
| | - S Gooneratne
- Hereford County Hospital, Hereford, United Kingdom
| | - J Piedad
- Hereford County Hospital, Hereford, United Kingdom
| | - M Akhtar
- Hereford County Hospital, Hereford, United Kingdom
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