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Histology is a Prognostic Indicator After Pulmonary Metastasectomy from Renal Cell Carcinoma.

Abstract There are only a few detailed reports concerning the prognosticators following surgical resection of pulmonary metastases (PMs) from renal cell carcinoma (RCC). We investigated the prognosis of patients with RCC PMs undergoing pulmonary metastasectomy and identified prognostic factors in a multi-institutional retrospective study.
PMID
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Authors

Mayor MeshTerms

Metastasectomy

Pneumonectomy

Keywords
Journal Title world journal of surgery
Publication Year Start




PMID- 27896403
OWN - NLM
STAT- MEDLINE
DCOM- 20171109
LR  - 20171208
IS  - 1432-2323 (Electronic)
IS  - 0364-2313 (Linking)
VI  - 41
IP  - 3
DP  - 2017 Mar
TI  - Histology is a Prognostic Indicator After Pulmonary Metastasectomy from Renal
      Cell Carcinoma.
PG  - 771-779
LID - 10.1007/s00268-016-3802-9 [doi]
AB  - OBJECTIVES: There are only a few detailed reports concerning the prognosticators 
      following surgical resection of pulmonary metastases (PMs) from renal cell
      carcinoma (RCC). We investigated the prognosis of patients with RCC PMs
      undergoing pulmonary metastasectomy and identified prognostic factors in a
      multi-institutional retrospective study. METHODS: We retrospectively evaluated 84
      patients who underwent resection of PMs from RCC between 1993 and 2014. We
      assessed the clinicopathological characteristics, focusing on the histological
      findings of PMs. We classified the histology into three types: pure clear cell
      carcinoma (N = 68), clear cell carcinoma combined with other histology type (N = 
      8), and non-clear cell carcinoma (N = 8). We examined the relationship between
      these histological types and the prognosis of patients with PMs from RCC.
      RESULTS: Complete resection was achieved in 78 patients (93%). The 5-year overall
      survival rate after metastasectomy was 59.7%. In multivariate analysis, three
      factors were found to be independent favorable prognostic factors of overall
      survival after lung metastasectomy [tumor size <2 cm, hazard ratio (HR) = 0.31,
      95% confidence interval (CI) 0.13-0.78, P = 0.012; clear cell type, HR = 0.37,
      95% CI 0.16-0.83, P = 0.025; and complete resection, HR = 0.27, 95% CI 0.10-0.78,
      P = 0.015]. CONCLUSIONS: This study indicates that a histological finding of the 
      clear cell type is a significant favorable prognostic factor in addition to
      complete resection and a tumor size <2 cm. Histological evaluation of PM lesions 
      is important for predicting survival after metastasectomy.
FAU - Ohtaki, Yoichi
AU  - Ohtaki Y
AD  - Division of General Thoracic Surgery, Integrative Center of General Surgery,
      Gunma University Hospital, Maebashi, Gunma, Japan.
AD  - Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate
      School of Medicine, Maebashi, Gunma, Japan.
FAU - Shimizu, Kimihiro
AU  - Shimizu K
AD  - Division of General Thoracic Surgery, Integrative Center of General Surgery,
      Gunma University Hospital, Maebashi, Gunma, Japan. [email protected]
AD  - Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate
      School of Medicine, Maebashi, Gunma, Japan. [email protected]
FAU - Aokage, Keiju
AU  - Aokage K
AD  - Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa,
      Chiba, Japan.
FAU - Nakao, Masayuki
AU  - Nakao M
AD  - Department of Thoracic Surgical Oncology, The Cancer Institute Hospital, Japanese
      Foundation for Cancer Research, Tokyo, Japan.
FAU - Yoshida, Junji
AU  - Yoshida J
AD  - Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa,
      Chiba, Japan.
FAU - Kamiyoshihara, Mitsuhiro
AU  - Kamiyoshihara M
AD  - Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi,
      Gunma, Japan.
FAU - Sugano, Masayuki
AU  - Sugano M
AD  - Department of General Thoracic Surgery, National Hospital Organization Takasaki
      General Medical Center, Takasaki, Gunma, Japan.
FAU - Takahashi, Yusuke
AU  - Takahashi Y
AD  - Department of General Thoracic Surgery, Teikyo University School of Medicine,
      Tokyo, Japan.
FAU - Nakazawa, Seshiru
AU  - Nakazawa S
AD  - Division of General Thoracic Surgery, Integrative Center of General Surgery,
      Gunma University Hospital, Maebashi, Gunma, Japan.
AD  - Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate
      School of Medicine, Maebashi, Gunma, Japan.
FAU - Nagashima, Toshiteru
AU  - Nagashima T
AD  - Division of General Thoracic Surgery, Integrative Center of General Surgery,
      Gunma University Hospital, Maebashi, Gunma, Japan.
AD  - Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate
      School of Medicine, Maebashi, Gunma, Japan.
FAU - Obayashi, Kai
AU  - Obayashi K
AD  - Division of General Thoracic Surgery, Integrative Center of General Surgery,
      Gunma University Hospital, Maebashi, Gunma, Japan.
AD  - Department of Thoracic and Visceral Organ Surgery, Gunma University Graduate
      School of Medicine, Maebashi, Gunma, Japan.
FAU - Hishida, Tomoyuki
AU  - Hishida T
AD  - Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa,
      Chiba, Japan.
FAU - Tsuboi, Masahiro
AU  - Tsuboi M
AD  - Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa,
      Chiba, Japan.
FAU - Mori, Shohei
AU  - Mori S
AD  - Department of Thoracic Surgical Oncology, The Cancer Institute Hospital, Japanese
      Foundation for Cancer Research, Tokyo, Japan.
FAU - Mun, Mingyon
AU  - Mun M
AD  - Department of Thoracic Surgical Oncology, The Cancer Institute Hospital, Japanese
      Foundation for Cancer Research, Tokyo, Japan.
FAU - Okumura, Sakae
AU  - Okumura S
AD  - Department of Thoracic Surgical Oncology, The Cancer Institute Hospital, Japanese
      Foundation for Cancer Research, Tokyo, Japan.
FAU - Igai, Hitoshi
AU  - Igai H
AD  - Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi,
      Gunma, Japan.
FAU - Matsutani, Noriyuki
AU  - Matsutani N
AD  - Department of General Thoracic Surgery, Teikyo University School of Medicine,
      Tokyo, Japan.
FAU - Mogi, Akira
AU  - Mogi A
AD  - Division of General Thoracic Surgery, Integrative Center of General Surgery,
      Gunma University Hospital, Maebashi, Gunma, Japan.
FAU - Kuwano, Hiroyuki
AU  - Kuwano H
AD  - Division of General Thoracic Surgery, Integrative Center of General Surgery,
      Gunma University Hospital, Maebashi, Gunma, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - United States
TA  - World J Surg
JT  - World journal of surgery
JID - 7704052
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Carcinoma, Renal Cell/mortality/*pathology/secondary/*surgery
MH  - Female
MH  - Humans
MH  - Kidney Neoplasms/mortality/pathology
MH  - Lung Neoplasms/mortality/secondary/*surgery
MH  - Male
MH  - *Metastasectomy
MH  - Middle Aged
MH  - *Pneumonectomy
MH  - Prognosis
MH  - Retrospective Studies
EDAT- 2016/11/30 06:00
MHDA- 2017/11/10 06:00
CRDT- 2016/11/30 06:00
PHST- 2016/11/30 06:00 [pubmed]
PHST- 2017/11/10 06:00 [medline]
PHST- 2016/11/30 06:00 [entrez]
AID - 10.1007/s00268-016-3802-9 [doi]
AID - 10.1007/s00268-016-3802-9 [pii]
PST - ppublish
SO  - World J Surg. 2017 Mar;41(3):771-779. doi: 10.1007/s00268-016-3802-9.