Current status of surgical treatment of renal cancer
MUDr. Petr Macek, Ph.D., FEBU1; MUDr. Michal Pešl, FEBU2; Annick Mombet, MD1; Rafael Sanchez-Salas, MD1; Xavier Cathelineau, MD1
1 Department of Urology, L'Institut Mutualiste Montsouris. Université Paris Descartes, Paříž, Francie
2 Urologická klinika 1. LF UK a VFN, Praha
Renal tumor incidence is the highest worldwide in Czech Republic. However, the mortality here is slowly declining in recent years. Possible management in non-metastatic renal tumors includes surgical removal (partial or total nephrectomy), thermal ablation methods, surveillance, or palliative embolization. Partial nephrectomy is a preferred method for cT1 renal tumors. For those of cT2 category a minimally invasive nephrectomy is preferred. Thermal ablation is indicated following individual assessment in patients not suitable for surgical removal. In locally advanced (non-metastatic) tumors a radical nephrectomy is a method of choice. Renal mass biopsy is indicated usually in less typical cases, where a knowledge of histology may affect management choice. Tumor surveillance in patients not suitable for active treatment provides favorable disease specific shortand mid-term survival.
tumor, kidney, partial nephrectomy, radical nephrectomy
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