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Prognostic factors of resected metastatic lung tumor originated from renal cell carcinoma.

Abstract We performed retrospective analysis of 22 cases who received pulmonary resection of metastases originated from renal cell carcinoma between 1997 and 2011. Patients comprised 18 men and 4 women with a mean age of 63 years (range, 39~79). The total pulmonary resection was 30 times, lobectomy was performed 5 times and wedge resection was 25 times. The 5-year overall survival was 35% and 10-year overall survival was 26%. Prognostic factors were histology of renal cell carcinoma (G1, 2 group vs. G3 group; 2-year survival rate was 69% and 20% respectively, p=0.023) and disease-free interval (less than 24 months vs. more than 24 months; 5-year disease-free survival rate was 22% and 75% respectively, p=0.019) in univariate analysis. Only disease-free interval showed significant difference (p=0.037) in multivariate analysis. This study demonstrated that aggressive surgical resection of pulmonary metastasis from renal cell carcinoma leads to the good prognosis, especially in cases with a long disease-free interval.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title kyobu geka. the japanese journal of thoracic surgery
Publication Year Start




PMID- 23575177
OWN - NLM
STAT- MEDLINE
DCOM- 20131118
LR  - 20130411
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 66
IP  - 4
DP  - 2013 Apr
TI  - [Prognostic factors of resected metastatic lung tumor originated from renal cell 
      carcinoma].
PG  - 275-8
AB  - We performed retrospective analysis of 22 cases who received pulmonary resection 
      of metastases originated from renal cell carcinoma between 1997 and 2011.
      Patients comprised 18 men and 4 women with a mean age of 63 years (range, 39~79).
      The total pulmonary resection was 30 times, lobectomy was performed 5 times and
      wedge resection was 25 times. The 5-year overall survival was 35% and 10-year
      overall survival was 26%. Prognostic factors were histology of renal cell
      carcinoma (G1, 2 group vs. G3 group; 2-year survival rate was 69% and 20%
      respectively, p=0.023) and disease-free interval (less than 24 months vs. more
      than 24 months; 5-year disease-free survival rate was 22% and 75% respectively,
      p=0.019) in univariate analysis. Only disease-free interval showed significant
      difference (p=0.037) in multivariate analysis. This study demonstrated that
      aggressive surgical resection of pulmonary metastasis from renal cell carcinoma
      leads to the good prognosis, especially in cases with a long disease-free
      interval.
FAU - Sakuraba, Motoki
AU  - Sakuraba M
AD  - Department of Thoracic Surgery, Sapporo City General Hospital, Sapporo, Japan.
FAU - Tanaka, Akihiko
AU  - Tanaka A
FAU - Mishina, Taijiro
AU  - Mishina T
FAU - Seki, Toshimori
AU  - Seki T
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Adult
MH  - Aged
MH  - Carcinoma, Renal Cell/*pathology
MH  - Female
MH  - Humans
MH  - Kidney Neoplasms/*pathology
MH  - Lung Neoplasms/mortality/*secondary/*surgery
MH  - Male
MH  - Metastasectomy
MH  - Middle Aged
MH  - Pneumonectomy
MH  - Prognosis
MH  - Retrospective Studies
EDAT- 2013/04/12 06:00
MHDA- 2013/11/19 06:00
CRDT- 2013/04/12 06:00
PHST- 2013/04/12 06:00 [entrez]
PHST- 2013/04/12 06:00 [pubmed]
PHST- 2013/11/19 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2013 Apr;66(4):275-8.