The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America

Detalhes bibliográficos
Autor(a) principal: Dall'Oglio,Marcos F.
Data de Publicação: 2010
Outros Autores: Crippa,Alexandre, Camara,Cesar, Pontes-Junior,Jose, Colombo,Jose R., Nesrallah,Adriano J., Oliveira,Luis C. N., Srougi,Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000600004
Resumo: PURPOSE: The incidence of renal cell carcinoma (RCC) has been rising by 2.3 to 4.3% every year over the past three decades. Previously, RCC has been known as the internist’s tumor; however, it is now being called the radiologist’s tumor because 2/3 are now detected incidentally on abdominal imaging. We compared patients who were treated toward the end of the 20th century to those treated during the beginning of the 21st century with regard to RCC size and type of surgical treatment. MATERIALS AND METHODS: The study included 226 patients. For analysis of tumor size, we considered a cut point of < 4 cm and &gt; 4 cm. For analysis of type of surgery performed, we considered radical and partial nephrectomy. RESULTS: After the turn of the century, there was a reduction of 1.57 ± 0.48 cm in the size of the RCC that was operated on. Nephron sparing surgeries were performed in 17% of the cases until the year 2000, and 39% of the tumors were < 4 cm. From 2001, 64% of the tumors measured < 4 cm and 42% of the surgeries were performed using nephron sparing techniques. Mean tumor size was 5.95 cm (± 3.58) for the cases diagnosed before year 2000, and cases treated after the beginning of 21st century had a mean tumor size of 4.38 cm (± 3.27). CONCLUSIONS: Compared with the end of the 20th century, at the beginning of the 21st century due to a reduction in tumor size it was possible to increase the number of nephron sparing surgeries.
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spelling The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South Americacarcinomarenal cellincidencediagnostic imagingurological surgical proceduresPURPOSE: The incidence of renal cell carcinoma (RCC) has been rising by 2.3 to 4.3% every year over the past three decades. Previously, RCC has been known as the internist’s tumor; however, it is now being called the radiologist’s tumor because 2/3 are now detected incidentally on abdominal imaging. We compared patients who were treated toward the end of the 20th century to those treated during the beginning of the 21st century with regard to RCC size and type of surgical treatment. MATERIALS AND METHODS: The study included 226 patients. For analysis of tumor size, we considered a cut point of < 4 cm and &gt; 4 cm. For analysis of type of surgery performed, we considered radical and partial nephrectomy. RESULTS: After the turn of the century, there was a reduction of 1.57 ± 0.48 cm in the size of the RCC that was operated on. Nephron sparing surgeries were performed in 17% of the cases until the year 2000, and 39% of the tumors were < 4 cm. From 2001, 64% of the tumors measured < 4 cm and 42% of the surgeries were performed using nephron sparing techniques. Mean tumor size was 5.95 cm (± 3.58) for the cases diagnosed before year 2000, and cases treated after the beginning of 21st century had a mean tumor size of 4.38 cm (± 3.27). CONCLUSIONS: Compared with the end of the 20th century, at the beginning of the 21st century due to a reduction in tumor size it was possible to increase the number of nephron sparing surgeries.Sociedade Brasileira de Urologia2010-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000600004International braz j urol v.36 n.6 2010reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-55382010000600004info:eu-repo/semantics/openAccessDall'Oglio,Marcos F.Crippa,AlexandreCamara,CesarPontes-Junior,JoseColombo,Jose R.Nesrallah,Adriano J.Oliveira,Luis C. N.Srougi,Migueleng2011-03-23T00:00:00Zoai:scielo:S1677-55382010000600004Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2011-03-23T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
title The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
spellingShingle The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
Dall'Oglio,Marcos F.
carcinoma
renal cell
incidence
diagnostic imaging
urological surgical procedures
title_short The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
title_full The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
title_fullStr The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
title_full_unstemmed The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
title_sort The beginning of the 21st century: a paradigm shift in the surgical management of renal cell carcinoma in South America
author Dall'Oglio,Marcos F.
author_facet Dall'Oglio,Marcos F.
Crippa,Alexandre
Camara,Cesar
Pontes-Junior,Jose
Colombo,Jose R.
Nesrallah,Adriano J.
Oliveira,Luis C. N.
Srougi,Miguel
author_role author
author2 Crippa,Alexandre
Camara,Cesar
Pontes-Junior,Jose
Colombo,Jose R.
Nesrallah,Adriano J.
Oliveira,Luis C. N.
Srougi,Miguel
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Dall'Oglio,Marcos F.
Crippa,Alexandre
Camara,Cesar
Pontes-Junior,Jose
Colombo,Jose R.
Nesrallah,Adriano J.
Oliveira,Luis C. N.
Srougi,Miguel
dc.subject.por.fl_str_mv carcinoma
renal cell
incidence
diagnostic imaging
urological surgical procedures
topic carcinoma
renal cell
incidence
diagnostic imaging
urological surgical procedures
description PURPOSE: The incidence of renal cell carcinoma (RCC) has been rising by 2.3 to 4.3% every year over the past three decades. Previously, RCC has been known as the internist’s tumor; however, it is now being called the radiologist’s tumor because 2/3 are now detected incidentally on abdominal imaging. We compared patients who were treated toward the end of the 20th century to those treated during the beginning of the 21st century with regard to RCC size and type of surgical treatment. MATERIALS AND METHODS: The study included 226 patients. For analysis of tumor size, we considered a cut point of < 4 cm and &gt; 4 cm. For analysis of type of surgery performed, we considered radical and partial nephrectomy. RESULTS: After the turn of the century, there was a reduction of 1.57 ± 0.48 cm in the size of the RCC that was operated on. Nephron sparing surgeries were performed in 17% of the cases until the year 2000, and 39% of the tumors were < 4 cm. From 2001, 64% of the tumors measured < 4 cm and 42% of the surgeries were performed using nephron sparing techniques. Mean tumor size was 5.95 cm (± 3.58) for the cases diagnosed before year 2000, and cases treated after the beginning of 21st century had a mean tumor size of 4.38 cm (± 3.27). CONCLUSIONS: Compared with the end of the 20th century, at the beginning of the 21st century due to a reduction in tumor size it was possible to increase the number of nephron sparing surgeries.
publishDate 2010
dc.date.none.fl_str_mv 2010-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000600004
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1677-55382010000600004
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.36 n.6 2010
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
instname_str Sociedade Brasileira de Urologia (SBU)
instacron_str SBU
institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
repository.name.fl_str_mv International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)
repository.mail.fl_str_mv ||brazjurol@brazjurol.com.br
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